0001209191-18-001077.txt : 20180103
0001209191-18-001077.hdr.sgml : 20180103
20180103170911
ACCESSION NUMBER: 0001209191-18-001077
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: SCHMELING JUDY
CENTRAL INDEX KEY: 0001441090
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-34061
FILM NUMBER: 18506560
MAIL ADDRESS:
STREET 1: C/O HSN, INC.
STREET 2: 1 HSN DRIVE
CITY: ST.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
0001441090
SCHMELING JUDY
C/O HSN, INC.
1 HSN DRIVE
ST.PETERSBURG
FL
33729
0
1
0
0
Pres. Cornerstone, COO HSNi
Common Stock, par value $0.01 per share
2017-12-29
4
D
0
51661.458
D
0
D
Restricted Stock Units
2017-12-29
4
D
0
16934.561
D
Common Stock, par value $0.01 per share
16934.561
0
D
Share Appreciation Right
17.39
2017-12-29
4
D
0
10570
D
2011-02-23
2020-02-23
Common Stock, par value $0.01 per share
10570
0
D
Share Appreciation Right
25.86
2017-12-29
4
D
0
20594
D
2012-02-09
2021-02-09
Common Stock, par value $0.01 per share
20594
0
D
Share Appreciation Right
31.00
2017-12-29
4
D
0
23092
D
2013-02-21
2022-02-21
Common Stock, par value $0.01 per share
23092
0
D
Share Appreciation Right
51.58
2017-12-29
4
D
0
15858
D
2014-02-12
2023-02-12
Common Stock, par value $0.01 per share
15858
0
D
Share Appreciation Right
47.72
2017-12-29
4
D
0
25464
D
2015-02-12
2024-02-12
Common Stock, par value $0.01 per share
25464
0
D
Share Appreciation Right
65.24
2017-12-29
4
D
0
32000
D
2016-02-10
2025-02-10
Common Stock, par value $0.01 per share
32000
0
D
Share Appreciation Right
44.86
2017-12-29
4
D
0
59754
D
2017-02-16
2026-02-16
Common Stock, par value $0.01 per share
59754
0
D
Share Appreciation Right
38.80
2017-12-29
4
D
0
90498
D
2018-02-23
2027-02-23
Common Stock, par value $0.01 per share
90498
0
D
Amount of Securities reflects an adjustment of 20 shares as a result of an error previously reported on Form 4 filed on February 14, 2017.
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