-----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, TdmoYBGYM+rbW1e81SQf4qhinb4x7Xgm5+aqnspc8eNYgDvIbZ9p5HosxzNQH0m3 8Lkmg0WG8cFnOxetb031mQ== 0001209191-08-053887.txt : 20080930 0001209191-08-053887.hdr.sgml : 20080930 20080930165033 ACCESSION NUMBER: 0001209191-08-053887 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20080929 FILED AS OF DATE: 20080930 DATE AS OF CHANGE: 20080930 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: AHMANN MARK A CENTRAL INDEX KEY: 0001195586 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-20243 FILM NUMBER: 081097683 BUSINESS ADDRESS: STREET 1: C/O FSI INTERNATIONAL INC STREET 2: 3455 LYMAN BLVD MS4-8448 CITY: CHASKA STATE: MN ZIP: 55318-8448 BUSINESS PHONE: 9523613052 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 X0303 4 2008-09-29 0 0000870826 VALUEVISION MEDIA INC VVTV 0001195586 AHMANN MARK A 6740 SHADY OAK ROAD EDEN PRAIRIE MN 55344 0 1 0 0 SVP, Human Resources Common Stock (option to buy) 1.77 2008-09-29 4 A 0 100000 0.00 A 2009-09-29 2018-09-29 Common Stock 100000 100000 D Option vests as to 33,333 shares on each of the first and second anniversary of the Date of Grant and 33,334 shares on the third anniversary of the Date of Grant. /s/ Nathan E. Fagre attorney-in-fact 2008-09-29 -----END PRIVACY-ENHANCED MESSAGE-----