-----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, CZlPUAAZFlC0BT4d2UxzuSEdHNoP4Egxr/7uCeVy+JJPMyW0jZeOI3EPjOkKa8Mn 9pnXhOanYADyQPHaiNIfZQ== 0001209191-05-013817.txt : 20050304 0001209191-05-013817.hdr.sgml : 20050304 20050304151941 ACCESSION NUMBER: 0001209191-05-013817 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050303 FILED AS OF DATE: 20050304 DATE AS OF CHANGE: 20050304 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: 05661099 BUSINESS ADDRESS: 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 2005-03-03 0 0000870826 VALUEVISION MEDIA INC VVTV 0001279737 BOEHLER BRENDA 6740 SHADY OAK ROAD EDEN PRAIRIE MN 55344 0 1 0 0 Executive Vice President Common Stock Option (right to buy) 12.82 2005-03-03 4 A 0 52787 0.00 A 2005-06-14 2015-03-03 Common Stock 52787 52787 D Under a Company program, the reporting person elected to receive the options reported on this Form 4 in lieu of a cash payment for a substantive portion of her FY 2005 bonus opportunity under the Company's management incentive bonus plan. /s/Nathan E. Fagre, attorney-in-fact 2005-03-04 -----END PRIVACY-ENHANCED MESSAGE-----