-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, UY7m0l6PoO0dMMrh/1a/mYpjN1RQ6gkhFAHzVd+bS6yIeE7ZzArHqn2qYsL1IIk7 3ElUk9DKn8j9LvH9+W0Kew== 0001209191-04-032719.txt : 20040624 0001209191-04-032719.hdr.sgml : 20040624 20040624135200 ACCESSION NUMBER: 0001209191-04-032719 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040622 FILED AS OF DATE: 20040624 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Buck John D CENTRAL INDEX KEY: 0001289177 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-20243 FILM NUMBER: 04879139 BUSINESS ADDRESS: BUSINESS PHONE: 952-992-2258 MAIL ADDRESS: STREET 1: 4201 GULF SHORE BLVD NORTH STREET 2: APT 1703N CITY: NAPLES STATE: FL ZIP: 34103 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: VALUEVISION MEDIA INC CENTRAL INDEX KEY: 0000870826 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-CATALOG & MAIL-ORDER HOUSES [5961] IRS NUMBER: 411673770 STATE OF INCORPORATION: MN FISCAL YEAR END: 0131 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: VALUEVISION INTERNATIONAL INC DATE OF NAME CHANGE: 19930328 4 1 doc4.xml FORM 4 SUBMISSION X0202 4 2004-06-22 0 0000870826 VALUEVISION MEDIA INC VVTV 0001289177 Buck John D 4201 GULF SHORE BLVD. NORTH APT. 1703N NAPLES FL 34103 1 0 0 0 Stock Option (right to buy) 12.7000 2004-06-22 4 A 0 20000.0000 0 A 2004-06-22 2014-06-22 Common Stock 20000.0000 20000.0000 D /s/Nathan E. Fagre, attorney-in-fact 2004-06-22 -----END PRIVACY-ENHANCED MESSAGE-----