0001209191-18-038030.txt : 20180615
0001209191-18-038030.hdr.sgml : 20180615
20180615161006
ACCESSION NUMBER: 0001209191-18-038030
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: HAZEN PAUL
CENTRAL INDEX KEY: 0001192055
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35882
FILM NUMBER: 18902310
MAIL ADDRESS:
STREET 1: P O BOX 7070
CITY: CARMEL
STATE: CA
ZIP: 93921
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
0001192055
HAZEN PAUL
6220 STONERIDGE MALL ROAD
PLEASANTON
CA
94588
1
0
0
0
Common Stock
2018-06-15
4
D
0
75570
45.25
D
0
D
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. BHN Holdings, Inc. and BHN Merger Sub, Inc. each issued and outstanding Share held by Mr. Hazen was converted into the right to receive $45.25 in cash, without interest.
KIRSTEN E. RICHESSON, Attorney-in-fact
2018-06-15