0001209191-11-035362.txt : 20110617
0001209191-11-035362.hdr.sgml : 20110617
20110617173118
ACCESSION NUMBER: 0001209191-11-035362
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20110615
FILED AS OF DATE: 20110617
DATE AS OF CHANGE: 20110617
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: 0130
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: EVANS WILLIAM F
CENTRAL INDEX KEY: 0001103166
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-20243
FILM NUMBER: 11919632
MAIL ADDRESS:
STREET 1: C/O SFN GROUP INC
STREET 2: 2050 SPECTRUM BLVD
CITY: FORT LAUDERDALE
STATE: FL
ZIP: 33309
4
1
doc4.xml
FORM 4 SUBMISSION
X0303
4
2011-06-15
0
0000870826
VALUEVISION MEDIA INC
VVTV
0001103166
EVANS WILLIAM F
6740 SHADY OAK ROAD
EDEN PRAIRIE
MN
55344
1
0
0
0
Common Stock
2011-06-15
4
A
0
8000
0.00
A
8000
D
Common Stock (option to buy)
7.53
2011-06-15
4
A
0
30000
0.00
A
2021-06-15
Common Stock
30000
30000
D
All shares vest on the day immediately prior to the next following annual shareholders meeting after the date of grant.
/s/ Teresa J. Dery, Attorney-in-Fact
2011-06-17