-----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, DPcYrYavkLQ69IMh/CdyaNC/2g/k7N/xXd3rQGqblY+nC3+fJDNNqpyzdrWhz0Hz EllERyyHGwsUL6G5Z+rYhA== 0001209191-05-002673.txt : 20050111 0001209191-05-002673.hdr.sgml : 20050111 20050111160355 ACCESSION NUMBER: 0001209191-05-002673 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050107 FILED AS OF DATE: 20050111 DATE AS OF CHANGE: 20050111 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Elsenbast Frank CENTRAL INDEX KEY: 0001307289 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-20243 FILM NUMBER: 05523577 BUSINESS ADDRESS: BUSINESS PHONE: 952-943-6516 MAIL ADDRESS: STREET 1: 6740 SHADY OAK ROAD CITY: EDEN PRAIRIE STATE: MN ZIP: 55344 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 2005-01-07 0 0000870826 VALUEVISION MEDIA INC VVTV 0001307289 Elsenbast Frank 6740 SHADY OAK ROAD EDEN PRAIRIE MN 55344 0 1 0 0 VP Finance & CFO Common Stock Option (right to buy) 13.12 2005-01-07 4 A 0 25000 0.00 A 2015-01-07 Common Stock 25000 25000 D Option vests as to 8,333 shares on each of the first and second anniversary of the Date of Grant and 8,334 shares on the third anniversary of the Date of Grant. /s/Nathan E. Fagre on behalf of Frank Elsenbast 2005-01-11 -----END PRIVACY-ENHANCED MESSAGE-----