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