-----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, HYnLEJIPJU+75qnewOOJ7Brc322I1Cp8UksvMm5ZooGMs0uj35KYn5mIb3jAJM9+ q5YNlAv9XXcYv4qS4z7KBA== 0001209191-04-035052.txt : 20040707 0001209191-04-035052.hdr.sgml : 20040707 20040707113701 ACCESSION NUMBER: 0001209191-04-035052 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040706 FILED AS OF DATE: 20040707 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: KORKOWSKI ROBERT J CENTRAL INDEX KEY: 0001253990 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-20243 FILM NUMBER: 04903764 MAIL ADDRESS: STREET 1: 15802 NURSERY DR CITY: MINNETONKA STATE: MN ZIP: 55345 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 2004-07-06 0 0000870826 VALUEVISION MEDIA INC VVTV 0001253990 KORKOWSKI ROBERT J 15802 NURSERY DRIVE MINNETONKA MN 55345 1 0 0 0 Common Stock 2004-07-06 4 M 0 12500 4.5625 A 163311 D Stock Option (right to buy) 4.5625 2004-07-06 4 M 0 12500 0.00 D 2007-03-03 Common Stock 12500 0 D Options vest on the the earlier of the 8th anniversary of the date of grant or the satisfaction of certain performance provisions. /s/Nathan E. Fagre, attorney-in-fact 2004-07-07 -----END PRIVACY-ENHANCED MESSAGE-----