0001209191-18-001051.txt : 20180103
0001209191-18-001051.hdr.sgml : 20180103
20180103170634
ACCESSION NUMBER: 0001209191-18-001051
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: MARTINEZ MARIA D.
CENTRAL INDEX KEY: 0001633672
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-34061
FILM NUMBER: 18506503
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
0001633672
MARTINEZ MARIA D.
C/O HSN, INC.
1 HSN DRIVE
SAINT PETERSBURG
FL
33729
0
1
0
0
Chief Human Resources Officer
Common Stock, par value $0.01 per share
2017-12-29
4
D
0
5014.702
D
0
D
Restricted Stock Units
2017-12-29
4
D
0
5386.788
D
Common Stock, par value $0.01 per share
5386.788
0
D
Share Appreciation Right
51.58
2017-12-29
4
D
0
2831
D
2014-02-12
2023-02-12
Common Stock, par value $0.01 per share
2831
0
D
Share Appreciation Right
47.72
2017-12-29
4
D
0
4610
D
2015-02-12
2024-02-12
Common Stock, par value $0.01 per share
4610
0
D
Share Appreciation Right
65.24
2017-12-29
4
D
0
11429
D
2016-02-10
2025-02-10
Common Stock, par value $0.01 per share
11429
0
D
Share Appreciation Right
44.86
2017-12-29
4
D
0
21981
D
2017-02-16
2026-02-16
Common Stock, par value $0.01 per share
21981
0
D
Share Appreciation Right
38.80
2017-12-29
4
D
0
24236
D
2018-02-23
2027-02-23
Common Stock, par value $0.01 per share
24236
0
D
Per the terms of the Agreement and Plan of Merger, dated as of July 5, 2017, by and among HSN, Inc., a Delaware corporation ("HSNI"), 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 share of HSNI common stock was converted to 1.65 shares of Liberty Interactive Series A QVC Group common stock ("Liberty QVCA common stock") rounded down to the nearest number of whole shares with any fractional shares being paid out in cash based on the market closing price of Liberty QVCA common stock on December 29, 2017.
Each Restricted Stock Unit ("RSU") is the economic equivalent of one share of HSNI common stock. Per the terms of the Merger Agreement, each RSU was converted into an RSU equivalent to 1.65 shares of Liberty QVCA common stock and rounded to the nearest whole share.
Per the terms of the award agreement, 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 RSU becomes fully vested.
Per the terms of the Merger Agreement, the Share Appreciation Right ("SAR") was converted into a SAR for shares of Liberty QVCA common stock by multiplying the number of shares in Table II, Column 7 by 1.65 (rounded down to the nearest number of whole shares) at an exercise price per share equal to the exercise price in Table II, Column 2 divided by 1.65 and rounded up to the nearest whole cent.
Per the terms of the award agreement: (i) to the extent unvested, the award will vest upon the occurrence of the later of (a) the effective time of the Merger Agreement and (b) the individual's separation from service, and (ii) after a change of control and separation from service, the SAR expires on the earlier of (c) the original expiration date of the SAR or (d) one year following the individual's separation from service.
/s/ Harold Herman, as attorney-in-fact
2018-01-03