0001209191-16-108946.txt : 20160316
0001209191-16-108946.hdr.sgml : 20160316
20160316192703
ACCESSION NUMBER: 0001209191-16-108946
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160222
FILED AS OF DATE: 20160316
DATE AS OF CHANGE: 20160316
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: TATE DAVID C
CENTRAL INDEX KEY: 0001593933
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35882
FILM NUMBER: 161510932
MAIL ADDRESS:
STREET 1: C/O BLACKHAWK NETWORK HOLDINGS, INC.
STREET 2: 6220 STONERIDGE MALL ROAD
CITY: PLEASANTON
STATE: CA
ZIP: 94588
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2016-02-22
0
0001411488
BLACKHAWK NETWORK HOLDINGS, INC
HAWK
0001593933
TATE DAVID C
6220 STONERIDGE MALL RD
PLEASANTON
CA
94588
0
1
0
0
SVP, Products and Marketing
Common Stock
2016-03-14
4
M
0
1988
A
19872
D
Stock Option (Right to Buy)
38.85
2016-02-22
4
A
0
26650
0.00
A
2023-02-22
Common Stock
26650
26650
D
Restricted Stock Unit (RSU)
2016-02-22
4
A
0
8450
0.00
A
Common Stock
8450
8450
D
Performance Shares (PSU)
2016-02-22
4
A
0
4538
0.00
A
Common Stock
4538
4538
D
Each restricted stock unit represents a contingent right to receive one share of the Company's Common Stock.
The shares vest pursuant to the following schedule: Twenty-Five Percent (25%) of the shares subject to the option vest on each of the first, second, third, and fourth anniversary of February 22, 2016, subject to the Reporting Person's continued employment or service relationship with the Company on each such vesting date.
The restricted stock units vest pursuant to the following schedule: Twenty-Five Percent (25%) of the shares subject to the restricted stock units vest on each of the first, second, third, and fourth anniversary of February 22, 2016, subject to the Reporting Person's continued employment or service relationship with the Company on each such vesting date.
Represents the number of performance share units earned pursuant to the 2015 Performance Share Award Agreement when the Compensation Committee certified that the performance goals for the Reporting Person were achieved at a meeting held by the Compensation Committee. The earned performance share units will vest on January 4, 2018. Each earned performance share was acquired without cash payment and represents the contingent right to receive one share of Common Stock.
/s/ Yang Liu, Attorney-In-Fact
2016-03-16