0001209191-18-038010.txt : 20180615 0001209191-18-038010.hdr.sgml : 20180615 20180615155810 ACCESSION NUMBER: 0001209191-18-038010 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180615 FILED AS OF DATE: 20180615 DATE AS OF CHANGE: 20180615 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: EDWARDS ROBERT L CENTRAL INDEX KEY: 0001213975 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35882 FILM NUMBER: 18902147 MAIL ADDRESS: STREET 1: C/O IMATION CORP STREET 2: 1 IMATION PL CITY: OAKDALE STATE: MN ZIP: 55128 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: 1231 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 2018-06-15 1 0001411488 BLACKHAWK NETWORK HOLDINGS, INC HAWK 0001213975 EDWARDS ROBERT L 6220 STONERIDGE MALL ROAD PLEASANTON CA 94588 1 0 0 0 Common Stock 2018-06-15 4 D 0 38088 45.25 D 0 D Common Stock 2018-06-15 4 D 0 52669 45.25 D 0 I Held by the Edwards Family Trust dated July 30, 2015 At the effective time of the merger contemplated by the agreement and plan of merger, dated as of January 15, 2018, by and among Blackhawk Network Holdings, Inc. BHN Holdings, Inc. and BHN Merger Sub, Inc. each issued and outstanding Share held by Mr. Edwards was converted into the right to receive $45.25 in cash, without interest. Mr. Edwards benefits from the Edwards Family Trust dated July 30, 2015. As such, Mr. Edwards may be deemed to have beneficial ownership of the securities owned by this entity. KIRSTEN E. RICHESSON, Attorney-in-Fact 2018-06-15