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