0001209191-16-099834.txt : 20160218 0001209191-16-099834.hdr.sgml : 20160218 20160218160344 ACCESSION NUMBER: 0001209191-16-099834 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160216 FILED AS OF DATE: 20160218 DATE AS OF CHANGE: 20160218 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: HSN, Inc. CENTRAL INDEX KEY: 0001434729 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-MISCELLANEOUS SHOPPING GOODS STORES [5940] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1 HSN DRIVE CITY: ST. PETERSBURG STATE: FL ZIP: 33729 BUSINESS PHONE: 727-872-1000 MAIL ADDRESS: STREET 1: 1 HSN DRIVE CITY: ST. PETERSBURG STATE: FL ZIP: 33729 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MARTINEZ MARIA D. CENTRAL INDEX KEY: 0001633672 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34061 FILM NUMBER: 161437557 MAIL ADDRESS: STREET 1: C/O HSN, INC. STREET 2: 1 HSN DRIVE CITY: SAINT PETERSBURG STATE: FL ZIP: 33729 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2016-02-16 0 0001434729 HSN, Inc. HSNI 0001633672 MARTINEZ MARIA D. C/O HSN, INC. 1 HSN DRIVE SAINT PETERSBURG FL 33729 0 1 0 0 Chief Human Resources Officer Stock Appreciation Rights 44.86 2016-02-16 4 A 0 21981 0.00 A 2026-02-16 Common Stock, par value $0.01 per share 21981 21981 D Restriced Stock Units 2016-02-16 4 A 0 1791 0.00 A Common Stock, par value $0.01 per share 1791 1791 D Performance Share Units 2016-02-16 4 A 0 2973 0.00 A Common Stock, par value $0.01 per share 2973 D The Stock Appreciation Rights vest annually, in equal installments, over a three-year period beginning on February 16, 2017. Each Restricted Stock Unit represents a contingent right to receive one share of HSN, Inc. common stock. All of such Restricted Stock Units vest on February 16, 2019. Shares will be delivered on a one-for-one basis. The number of performance share units("PSUs") reported represents the "target" number of PSUs. Each PSU represents a contingent right to receive 0-200% of that number in shares of HSN, Inc. common stock. The PSUs vest upon continued employment and achievement of specified thresholds of total shareholder return (TSR) compared to certain peers measured on December 31, 2018, as set forth in the award agreement. The award vests after the performance results are certified by the Compensation and Human Resources Committee. /s/ Harold Herman, as attorney-in-fact 2016-02-18