0001209191-18-026139.txt : 20180425
0001209191-18-026139.hdr.sgml : 20180425
20180425181921
ACCESSION NUMBER: 0001209191-18-026139
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20180424
FILED AS OF DATE: 20180425
DATE AS OF CHANGE: 20180425
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Brown Gregory Scott
CENTRAL INDEX KEY: 0001713577
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35882
FILM NUMBER: 18775470
MAIL ADDRESS:
STREET 1: C/O BLACKHAWK NETWORK HOLDINGS, INC.
STREET 2: 6220 STONERIDGE MALL ROAD
CITY: PLEASANTON
STATE: CA
ZIP: 94588
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
2018-04-24
0
0001411488
BLACKHAWK NETWORK HOLDINGS, INC
HAWK
0001713577
Brown Gregory Scott
C/O BLACKHAWK NETWORK HOLDINGS, INC.
6220 STONERIDGE MALL ROAD
PLEASANTON
CA
94588
0
1
0
0
SVP, International
Common Stock
2018-04-24
4
M
0
8750
0.00
A
42259
D
Common Stock
2018-04-24
4
F
0
3025
44.95
D
39234
D
Restricted Stock Units
0.00
2018-04-24
4
M
0
8750
0.00
D
Common Stock
8750
26250
D
Reflects shares of common stock acquired as a result of a partial vesting of Restricted Stock Units ("RSU").
Represents shares of common stock forfeited to the Issuer to satisfy certain tax-withholding obligations of the Reporting Person arising as a result of the issuance of shares of common stock upon the vesting and settlement of RSUs.
Represents the closing price of the common stock on the date of forfeiture.
Twenty-Five Percent (25%) of the RSUs vest on each of first, second, third and fourth anniversaries of April 24, 2017, subject to the Reporting Person's continued employment or service relationship with the Issuer on each such vesting date.
The RSUs terminate upon earlier of (i) the vesting thereof and settlement in shares of common stock, or (ii) the termination of the employment or service relationship of the Reporting Person with the Issuer.
Each RSU represents a contingent right to receive one share of the Company's Common Stock.
/s/ YANG LIU, Attorney-in-Fact
2018-04-25