0001209191-18-019665.txt : 20180314 0001209191-18-019665.hdr.sgml : 20180314 20180314181058 ACCESSION NUMBER: 0001209191-18-019665 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180313 FILED AS OF DATE: 20180314 DATE AS OF CHANGE: 20180314 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: TAUSCHER WILLIAM Y CENTRAL INDEX KEY: 0001034052 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35882 FILM NUMBER: 18690556 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: BLACKHAWK NETWORK HOLDINGS, INC CENTRAL INDEX KEY: 0001411488 STANDARD INDUSTRIAL CLASSIFICATION: FINANCE SERVICES [6199] IRS NUMBER: 432099257 STATE OF INCORPORATION: DE FISCAL YEAR END: 1230 BUSINESS ADDRESS: STREET 1: 6220 STONERIDGE MALL ROAD CITY: PLEASANTON STATE: CA ZIP: 94588 BUSINESS PHONE: 925-226-9990 MAIL ADDRESS: STREET 1: 6220 STONERIDGE MALL ROAD CITY: PLEASANTON STATE: CA ZIP: 94588 FORMER COMPANY: FORMER CONFORMED NAME: BLACKHAWK NETWORK HOLDINGS INC DATE OF NAME CHANGE: 20070904 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2018-03-13 0 0001411488 BLACKHAWK NETWORK HOLDINGS, INC HAWK 0001034052 TAUSCHER WILLIAM Y 6220 STONERIDGE MALL ROAD PLEASANTON CA 94588 1 1 0 0 Executive Chairman Common Stock 2018-03-13 4 M 0 375000 17.531 A 556405 D Common Stock 2018-03-13 4 F 0 259996 44.75 D 296409 D Stock Option (Right to Purchase) 17.531 2018-03-13 4 M 0 375000 0.00 D 2015-08-12 2018-03-14 Common Stock 375000 0 D Reflects shares of common stock acquired upon exercise of stock options by the Reporting Person. Reflects the per-share exercise price of the common stock upon exercise of such stock options. Represents shares of common stock forfeited to the Issuer to satisfy the exercise price and tax-withholding obligations of the Reporting Person in connection with the exercise of stock options. Represents the closing price of the common stock on the date of forfeiture. /s/ YANG LIU, Attorney-in-Fact 2018-03-14