0001209191-12-048580.txt : 20121005 0001209191-12-048580.hdr.sgml : 20121005 20121005182858 ACCESSION NUMBER: 0001209191-12-048580 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20121003 FILED AS OF DATE: 20121005 DATE AS OF CHANGE: 20121005 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: McGrath William J. CENTRAL INDEX KEY: 0001485635 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-20243 FILM NUMBER: 121133154 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 X0306 4 2012-10-03 0 0000870826 VALUEVISION MEDIA INC VVTV 0001485635 McGrath William J. 6740 SHADY OAK ROAD EDEN PRAIRIE MN 55344 0 1 0 0 EVP and CFO Stock Option (right to buy) 4.00 2012-10-03 4 A 0 245000 0.00 A 2022-10-03 Common Stock 245000 245000 D Grant is issued effective as of 10/3/12 and was issued as a long term incentive award pursuant to the Issuer's 2011 Omnibus Incentive Plan. The option award has an exercise price of $4.00 per share, representing a 75% premium to the Issuer's closing share price of $2.29 on the grant date. The option award becomes vested and exercisable, if at all, as to 50%, 25% and 25% of the total shares granted if the average daily closing price of a share of the Issuer's common stock on the NASDAQ Stock Market during any 20 consecutive trading day period equals or exceeds $6.00, $8.00 and $10.00, respectively. The closing target prices that must be reached represent a price appreciation over the price on the date of grant of: 162% at $6.00, 249% at $8.00 and 337% at $10.00. The $6.00 target price must be achieved within three years of the option grant date and the $8.00 and $10.00 target prices must be achieved within two years thereafter. /s/ Teresa J. Dery, Attorney-in-Fact 2012-10-05