0001209191-11-035391.txt : 20110617
0001209191-11-035391.hdr.sgml : 20110617
20110617175834
ACCESSION NUMBER: 0001209191-11-035391
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20110615
FILED AS OF DATE: 20110617
DATE AS OF CHANGE: 20110617
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: DERY TERESA J
CENTRAL INDEX KEY: 0001259886
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-20243
FILM NUMBER: 11919713
MAIL ADDRESS:
STREET 1: 7700 FRABCE AVE SOUTH
CITY: EDINA
STATE: MN
ZIP: 55435
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
4
1
doc4.xml
FORM 4 SUBMISSION
X0303
4
2011-06-15
0
0000870826
VALUEVISION MEDIA INC
VVTV
0001259886
DERY TERESA J
6740 SHADY OAK ROAD
EDEN PRAIRIE
MN
55344
0
1
0
0
Sr VP and General Counsel
Common Stock (option to buy)
7.53
2011-06-15
4
A
0
100000
0.00
A
2021-06-15
Common Stock
100000
100000
D
Options vest as to 33,333 shares of common stock on each of the first and second anniversary of the date of grant, and 33,334 shares of common stock on the third anniversary of the date of grant.
/s/ Teresa J. Dery
2011-06-17