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