0001209191-17-014515.txt : 20170224
0001209191-17-014515.hdr.sgml : 20170224
20170224183909
ACCESSION NUMBER: 0001209191-17-014515
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170222
FILED AS OF DATE: 20170224
DATE AS OF CHANGE: 20170224
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: 17639034
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
2017-02-22
0
0001411488
BLACKHAWK NETWORK HOLDINGS, INC
HAWK
0001593933
TATE DAVID C
6220 STONERIDGE MALL RD
PLEASANTON
CA
94588
0
1
0
0
SVP, U.S. Retail
Common Stock
2017-02-22
4
M
0
2113
A
39337
D
Common Stock
2017-02-22
4
F
0
794
37.45
D
38543
D
Restricted Stock (RSU)
2017-02-22
4
M
0
2113
0.00
D
Common Stock
2113
6337
D
Each restricted stock unit represents a contingent right to receive one share of the Company's Common Stock.
Shares tendered in payment of the tax withholding obligation.
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 Issuer on each such vesting date.
/s/Yang Liu, Attorney-In-Fact
2017-02-24