0001209191-18-012362.txt : 20180222 0001209191-18-012362.hdr.sgml : 20180222 20180222161507 ACCESSION NUMBER: 0001209191-18-012362 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180220 FILED AS OF DATE: 20180222 DATE AS OF CHANGE: 20180222 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Brown Gregory Scott CENTRAL INDEX KEY: 0001713577 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35882 FILM NUMBER: 18632695 MAIL ADDRESS: STREET 1: C/O BLACKHAWK NETWORK HOLDINGS, INC. STREET 2: 6220 STONERIDGE MALL ROAD CITY: PLEASANTON STATE: CA ZIP: 94588 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: 1230 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 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2018-02-20 0 0001411488 BLACKHAWK NETWORK HOLDINGS, INC HAWK 0001713577 Brown Gregory Scott C/O BLACKHAWK NETWORK HOLDINGS, INC. 6220 STONERIDGE MALL ROAD PLEASANTON CA 94588 0 1 0 0 SVP, International Common Stock 2018-02-20 4 A 0 30000 0.00 A 32259 D Reflects a grant of Restricted Stock Units ("RSUs") under the Issuer's 2013 Equity Incentive Award Plan. Each RSU represents a contingent right of the Reporting Person to receive one (1) share of the Issuer's Common Stock upon vesting. The RSUs vest in four (4) substantially equal installments on each of February 28, 2019, February 28, 2020, February 28, 2021 and February 28, 2022, respectively, 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 2018-02-22