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