-----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, O21paRSJ8z2UVF6lvQgB1hiiK84GsX36LXrr2yciwB5PE9ulXxX0Z447VTg2ub+m I7fvQxnjPzQNYmUiA9Qbiw== 0001209191-04-035236.txt : 20040708 0001209191-04-035236.hdr.sgml : 20040708 20040708133258 ACCESSION NUMBER: 0001209191-04-035236 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040706 FILED AS OF DATE: 20040708 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BOEHLER BRENDA CENTRAL INDEX KEY: 0001279737 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-20243 FILM NUMBER: 04905727 BUSINESS ADDRESS: STREET 1: 6740 SHADY OAK ROAD CITY: EDEN PRAIRIE STATE: MN ZIP: 55344 BUSINESS PHONE: 9529436111 MAIL ADDRESS: STREET 1: 6740 SHADY OAK ROAD CITY: EDEN PRAIRIE STATE: MN ZIP: 55344 4 1 doc4.xml FORM 4 SUBMISSION X0202 4 2004-07-06 0 0000870826 VALUEVISION MEDIA INC VVTV 0001279737 BOEHLER BRENDA 6740 SHADY OAK ROAD EDEN PRAIRIE MN 55344 0 1 0 0 Exec VP of Merchandising Stock Option (right to buy) 12.49 2004-07-06 4 A 0 16500 0.00 A 2004-12-01 2014-07-06 Common Stock 16500 16500 D Under a Company program, Ms. Boehler elected to receive the options reported on this Form 4 in lieu of a cash payment for a portion of her FY 2004 guaranteed bonus. /s/Nathan E. Fagre, attorney-in-fact 2004-07-07 -----END PRIVACY-ENHANCED MESSAGE-----