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