0001144204-15-023987.txt : 20150421 0001144204-15-023987.hdr.sgml : 20150421 20150421113054 ACCESSION NUMBER: 0001144204-15-023987 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150420 FILED AS OF DATE: 20150421 DATE AS OF CHANGE: 20150421 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: EVINE Live Inc. CENTRAL INDEX KEY: 0000870826 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-CATALOG & MAIL-ORDER HOUSES [5961] IRS NUMBER: 411673770 STATE OF INCORPORATION: MN FISCAL YEAR END: 0130 BUSINESS ADDRESS: STREET 1: 6740 SHADY OAK RD CITY: MINNEAPOLIS STATE: MN ZIP: 55344-3433 BUSINESS PHONE: 6129475200 MAIL ADDRESS: STREET 1: 6740 SHADY OAK RAOD CITY: EDEN PRAIRIE STATE: MN ZIP: 55344-3433 FORMER COMPANY: FORMER CONFORMED NAME: EVINE Live, Inc. DATE OF NAME CHANGE: 20141117 FORMER COMPANY: FORMER CONFORMED NAME: VALUEVISION MEDIA INC DATE OF NAME CHANGE: 20020516 FORMER COMPANY: FORMER CONFORMED NAME: VALUEVISION INTERNATIONAL INC DATE OF NAME CHANGE: 19930328 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BURNETT PENELOPE CENTRAL INDEX KEY: 0001640055 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-20243 FILM NUMBER: 15782459 MAIL ADDRESS: STREET 1: 324 E. 50TH STREET CITY: NEW YORK STATE: NY ZIP: 10022 4 1 v407791_4.xml OWNERSHIP DOCUMENT X0306 4 2015-04-20 0 0000870826 EVINE Live Inc. EVLV 0001640055 BURNETT PENELOPE 6740 SHADY OAK ROAD EDEN PRARIE MN 55344-3433 0 1 0 0 See Remarks Common Stock 2015-04-20 4 A 0 12053 0 A 12053 D Stock options (right to buy) 6.44 2015-04-20 4 A 0 17227 0 A 2025-04-20 Common Stock 17227 17227 D Represents a grant of restricted stock as a long term incentive award issued pursuant to the Issuer's 2011 Omnibus Incentive Plan. Grant issued effective as of April 20, 2015, as a long term incentive award pursuant to the Issuer's 2011 Omnibus Incentive Plan. The award vests in three equal installments on each of the first three anniversaries of the date of grant. Senior Vice President and Chief Merchandising Officer /s/ Ralph W. Norton, Attorney-in-Fact 2015-04-21