0001209191-15-045119.txt : 20150520
0001209191-15-045119.hdr.sgml : 20150520
20150520211836
ACCESSION NUMBER: 0001209191-15-045119
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20150519
FILED AS OF DATE: 20150520
DATE AS OF CHANGE: 20150520
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: 0103
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
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: GYANI MOHAN S
CENTRAL INDEX KEY: 0001182428
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35882
FILM NUMBER: 15881107
MAIL ADDRESS:
STREET 1: 7277 164TH AVE NE
STREET 2: BLDG1
CITY: REDMOND
STATE: WA
ZIP: 98052
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2015-05-19
0
0001411488
BLACKHAWK NETWORK HOLDINGS, INC
HAWK
0001182428
GYANI MOHAN S
6220 STONERIDGE MALL ROAD
PLEASANTON
CA
94588
1
0
0
0
Class B Common Stock
2015-05-19
4
S
0
1657
37.8536
D
22450
D
Transaction executed in multiple trades at prices ranging from $37.85 to $38.00 per share, inclusive. The price reported in column 4 of Table I above reflects the weighted average sale price per share. The Reporting Person hereby undertakes to provide the SEC staff, the Issuer or a security holder of the Issuer, upon request, full information regarding the number of shares sold at each respective price within the range set forth in this footnote.
/s/ Suzan S. Rowland, as Attorney-in-Fact for Mohan S. Gyani
2015-05-20