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