0001209191-16-127723.txt : 20160614 0001209191-16-127723.hdr.sgml : 20160614 20160614164250 ACCESSION NUMBER: 0001209191-16-127723 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160610 FILED AS OF DATE: 20160614 DATE AS OF CHANGE: 20160614 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: 0103 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: GYANI MOHAN S CENTRAL INDEX KEY: 0001182428 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35882 FILM NUMBER: 161713474 MAIL ADDRESS: STREET 1: 7277 164TH AVE NE STREET 2: BLDG1 CITY: REDMOND STATE: WA ZIP: 98052 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2016-06-10 0 0001411488 BLACKHAWK NETWORK HOLDINGS, INC HAWK 0001182428 GYANI MOHAN S 6220 STONERIDGE MALL ROAD PLEASANTON CA 94588 1 0 0 0 Common Stock 2016-06-10 4 A 0 4207 0.00 A 19636 D Represents the annual director award of 4,207 restricted stock units (RSUs) granted on June 10, 2016 under the Blackhawk Network Holdings, Inc. 2013 Equity Incentive Award Plan pursuant to the Blackhawk Network Holdings, Inc. Non-Employee Director Compensation Program. The award is to vest in shares of common stock of the Registrant on the first to occur of the first anniversary of the date of grant and the date of the next annual meeting of stockholders of the Registrant, subject to continued service on the vesting date and subject to any deferral of settlement at the election of the reporting person. /s/Yang Liu, Attorney-In-Fact 2016-06-14