0001181431-13-036599.txt : 20130625 0001181431-13-036599.hdr.sgml : 20130625 20130625171917 ACCESSION NUMBER: 0001181431-13-036599 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20130513 FILED AS OF DATE: 20130625 DATE AS OF CHANGE: 20130625 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: 1229 BUSINESS ADDRESS: STREET 1: 5918 STONERIDGE MALL ROAD CITY: PLEASANTON STATE: CA ZIP: 94588 BUSINESS PHONE: 925-226-9990 MAIL ADDRESS: STREET 1: 5918 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: SAFEWAY INC CENTRAL INDEX KEY: 0000086144 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-GROCERY STORES [5411] STATE OF INCORPORATION: DE FISCAL YEAR END: 1229 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35882 FILM NUMBER: 13932746 BUSINESS ADDRESS: STREET 1: 5918 STONERIDGE MALL RD CITY: PLEASANTON STATE: CA ZIP: 94588 BUSINESS PHONE: 9254673000 MAIL ADDRESS: STREET 1: 5918 STONERIDGE MALL ROAD CITY: PLEASANTON STATE: CA ZIP: 94588 FORMER NAME: FORMER CONFORMED NAME: SAFEWAY STORES INC DATE OF NAME CHANGE: 19900226 4 1 rrd384290.xml X0306 4 2013-05-13 0 0001411488 BLACKHAWK NETWORK HOLDINGS, INC HAWK 0000086144 SAFEWAY INC 5918 STONERIDGE MALL RD PLEASANTON CA 94588 0 0 1 0 Class A Common Stock 2013-05-13 4 A 0 8713 24.81 A 8713 D The shares of Class A Common Stock were acquired to satisfy tax withholding obligations upon the vesting of restricted stock granted pursuant to the Blackhawk Marketing Services, Inc. 2006 Restricted Stock Plan for Eligible Employees of Safeway Inc. (the "Plan"). A copy of the Plan was included as Exhibit 10.1 to the Reporting Person's Current Report on Form 8-K filed with the Securities and Exchange Commission on February 28, 2006. /s/ Laura A. Donald, Vice President 2013-06-25