0001209191-12-048581.txt : 20121005
0001209191-12-048581.hdr.sgml : 20121005
20121005183110
ACCESSION NUMBER: 0001209191-12-048581
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: Repasch Annette M.
CENTRAL INDEX KEY: 0001532450
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-20243
FILM NUMBER: 121133155
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
0001532450
Repasch Annette M.
6740 SHADY OAK ROAD
EDEN PRAIRIE
MN
55433
0
1
0
0
SVP, Chief Merchandising Offcr
Stock Option (right to buy)
4.00
2012-10-03
4
A
0
270000
0.00
A
2022-10-03
Common Stock
270000
270000
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