0001209191-11-051600.txt : 20111012 0001209191-11-051600.hdr.sgml : 20111012 20111012175155 ACCESSION NUMBER: 0001209191-11-051600 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20111010 FILED AS OF DATE: 20111012 DATE AS OF CHANGE: 20111012 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Kunkle Nancy E. CENTRAL INDEX KEY: 0001532467 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-20243 FILM NUMBER: 111138281 MAIL ADDRESS: STREET 1: 6740 SHADY OAK ROAD CITY: EDEN PRAIRIE STATE: MN ZIP: 55344 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 X0304 4 2011-10-10 0 0000870826 VALUEVISION MEDIA INC VVTV 0001532467 Kunkle Nancy E. 6740 SHADY OAK ROAD EDEN PRAIRIE MN 55344 0 1 0 0 SVP, Customer Experience Common Stock (option to buy) 2.63 2011-10-10 4 A 0 100000 0.00 A 2021-10-10 Common Stock 100000 100000 D Stock option grant vests in equal installments over a three year period beginning on October 10, 2012. Teresa J. Dery, Attorney-in-Fact 2011-10-12