Form 15-12B

0001193125-15-209225.txt : 20150601 0001193125-15-209225.hdr.sgml : 20150601 20150601165159 ACCESSION NUMBER: 0001193125-15-209225 CONFORMED SUBMISSION TYPE: 15-12B PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20150601 DATE AS OF CHANGE: 20150601 EFFECTIVENESS DATE: 20150601 FILER: 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 FILING VALUES: FORM TYPE: 15-12B SEC ACT: 1934 Act SEC FILE NUMBER: 001-35882 FILM NUMBER: 15904047 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 15-12B 1 d936078d1512b.htm FORM 15-12B Form 15-12B

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

FORM 15

CERTIFICATION AND NOTICE OF TERMINATION OF REGISTRATION UNDER SECTION 12(g) OF THE SECURITIES EXCHANGE ACT OF 1934 OR SUSPENSION OF DUTY TO FILE REPORTS UNDER SECTIONS 13 AND 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

Commission File Number 001-35882

BLACKHAWK NETWORK HOLDINGS, INC.

(Exact name of registrant as specified in its charter)

6220 Stoneridge Mall Road, Pleasanton, CA 94588 (925) 226-9990

(Address, including zip code, and telephone number, including area code, of registrant’s principal executive offices)

Class B Common Stock

(Title of each class of securities covered by this Form)

Common Stock

(Titles of all other classes of securities for which a duty to file reports under section 13(a) or 15(d) remains)

Please place an X in the box(es) to designate the appropriate rule provision(s) relied upon to terminate or suspend the duty to file reports:


Rule 12g-4(a)(1)		¨
Rule 12g-4(a)(2)		¨
Rule 12h-3(b)(1)(i)		x
Rule 12h-3(b)(1)(ii)		¨
Rule 15d-6		¨

Approximate number of holders of record as of the certification or notice date: None

Pursuant to the requirements of the Securities Exchange Act of 1934 Blackhawk Network Holdings, Inc. has caused this certification/notice to be signed on its behalf by the undersigned duly authorized person.

Date: June 1, 2015



						By:		/S/ Jerry N. Ulrich
								Jerry N. Ulrich *Chief Financial Officer* & *Chief Administrative Officer*