0001209191-18-001073.txt : 20180103 0001209191-18-001073.hdr.sgml : 20180103 20180103170835 ACCESSION NUMBER: 0001209191-18-001073 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171229 FILED AS OF DATE: 20180103 DATE AS OF CHANGE: 20180103 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Sarnoff Ann CENTRAL INDEX KEY: 0001391389 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34061 FILM NUMBER: 18506551 MAIL ADDRESS: STREET 1: C/O HSN, INC. STREET 2: 1 HSN DRIVE CITY: SAINT PETERSBURG STATE: FL ZIP: 33729 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: HSN, Inc. CENTRAL INDEX KEY: 0001434729 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-MISCELLANEOUS SHOPPING GOODS STORES [5940] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1 HSN DRIVE CITY: ST. PETERSBURG STATE: FL ZIP: 33729 BUSINESS PHONE: 727-872-1000 MAIL ADDRESS: STREET 1: 1 HSN DRIVE CITY: ST. PETERSBURG STATE: FL ZIP: 33729 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2017-12-29 1 0001434729 HSN, Inc. HSNI 0001391389 Sarnoff Ann C/O HSN, INC. 1 HSN DRIVE SAINT PETERSBURG FL 33729 1 0 0 0 Deferred Stock Units 2017-12-29 4 D 0 14546.91 D Common Stock, par value $0.01 per share 14546.91 0 D Each Deferred Stock Unit ("DSU") is the economic equivalent of one share of HSN, Inc. common stock. Per the terms of the Agreement and Plan of Merger, dated as of July 5, 2017, by and among HSN, Inc., a Delaware corporation, Liberty Interactive Corporation, a Delaware corporation, and Liberty Horizon, Inc., a Delaware corporation and a direct, wholly-owned subsidiary of Liberty Interactive (the "Merger Agreement"), each DSU was converted into 1.65 shares of Liberty Interactive Series A QVC Group common stock. Upon the occurrence of the later of (i) the effective time of the Merger Agreement and (ii) the individual's separation from service, each unvested DSU became fully vested. /s/ Harold Herman, as attorney-in-fact 2018-01-03