0001209191-18-038097.txt : 20180615 0001209191-18-038097.hdr.sgml : 20180615 20180615164601 ACCESSION NUMBER: 0001209191-18-038097 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: THOMPSON JANE J. CENTRAL INDEX KEY: 0001551788 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35882 FILM NUMBER: 18902727 MAIL ADDRESS: STREET 1: 628 GREEN VALLEY ROAD STREET 2: SUITE 500 CITY: GREENSBORO STATE: NC ZIP: 27408 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 0001551788 THOMPSON JANE J. C/O BLACKHAWK NETWORK HOLDINGS, INC. 6220 STONERIDGE MALL ROAD PLEASANTON CA 94588 1 0 0 0 Common Stock 2018-06-15 4 D 0 11317 45.25 D 0 D Common Stock 2018-06-15 4 D 0 3750 45.25 D 0 I Held by Declaration of trust of Jane J. Thompson dated December 26, 1995 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. (the "Company"), BHN Holdings, Inc. and BHN Merger Sub, Inc. (the "Effective Time") (i) each outstanding award of restricted stock units granted to Ms. Thompson was cancelled and converted into the right to receive an amount in cash equal to the product obtained by multiplying (A) the total number of shares of common stock of the Company ("Shares") subject to such award immediately prior to the Effective Time by (B) $45.25, less applicable taxes required to be withheld with respect to such payment and (ii) each issued and outstanding Share held by Ms. Thompson was converted into the right to receive $45.25 in cash, without interest. Ms. Thompson benefits from the Declaration of trust of Jane J. Thompson dated December 26, 1995. As such, Ms. Thompson may be deemed to have beneficial ownership of the securities owned by this entity. /s/ KIRSTEN E. RICHESSON, Attorney-in-Fact 2018-06-15