0001209191-17-014764.txt : 20170227 0001209191-17-014764.hdr.sgml : 20170227 20170227162751 ACCESSION NUMBER: 0001209191-17-014764 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170223 FILED AS OF DATE: 20170227 DATE AS OF CHANGE: 20170227 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: LITTLE ROD R CENTRAL INDEX KEY: 0001604565 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34061 FILM NUMBER: 17642064 MAIL ADDRESS: STREET 1: 1 HSN DRIVE CITY: ST. PETERSBURG STATE: FL ZIP: 33729 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2017-02-23 0 0001434729 HSN, Inc. HSNI 0001604565 LITTLE ROD R C/O HSN, INC. 1 HSN DRIVE ST. PETERSBURG FL 33729 0 1 0 0 Chief Financial Officer Stock Appreciation Rights 38.80 2017-02-23 4 A 0 63349 0.00 A 2027-02-23 Common Stock, par value $0.01 per share 63349 63349 D Restricted Stock Units 2017-02-23 4 A 0 5413 0.00 A Common Stock, par value $0.01 per share 5413 45586 D The stock appreciation right will vest ratably over three years beginning on February 23, 2018 in three approximately equal installments, and has a ten-year term. The stock appreciation right has an appreciation cap of 200%. As a result, the maximum number of shares deliverable for each stock appreciation right is two-thirds of a share of stock per stock appreciation right. Each Restricted Stock Unit represents a right to receive one share of HSN, Inc. common stock. All of such Restricted Stock Units vest on February 23, 2020. Shares of Common Stock will be delivered on a one-for-one basis. Harold Herman, as attorney-in-fact 2017-02-27