0001209191-16-156496.txt : 20161222 0001209191-16-156496.hdr.sgml : 20161222 20161222161701 ACCESSION NUMBER: 0001209191-16-156496 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161220 FILED AS OF DATE: 20161222 DATE AS OF CHANGE: 20161222 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: Costello William CENTRAL INDEX KEY: 0001442086 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34061 FILM NUMBER: 162066785 MAIL ADDRESS: STREET 1: C/O HSN, INC. STREET 2: 1 HSN DRIVE CITY: ST. PETERSBURG STATE: FL ZIP: 33729 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2016-12-20 0 0001434729 HSN, Inc. HSNI 0001442086 Costello William C/O HSN, INC. 1 HSN DRIVE ST. PETERSBURG FL 33729 1 0 0 0 Common Stock, par value $0.01 per share 2016-12-20 4 A 0 181.462 36.65 A 55064.881 D Deferred Stock Units 2016-12-20 4 A 0 150.094 36.65 A Common Stock, par value $0.01 per share 150.094 15867.092 D Includes 19,183.14 Deferred Share Units held by the reporting person under the Amended and Restated Deferred Compensation Plan for Non-Employee Directors as of December 20, 2016. Each Deferred Stock Unit ("DSU") is the economic equivalent of one share of common stock. The DSUs convert into one share of common stock six months after the reporting person's termination of service as a director. /s/ Harold Herman, as attorney-in-fact 2016-12-22