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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. | SEC 1474 (9-02) |
1. Title of Derivative Security (Instr. 3) |
2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) |
5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4, and 5) |
6. Date Exercisable and Expiration Date (Month/Day/Year) |
7. Title and Amount of Underlying Securities (Instr. 3 and 4) |
8. Price of Derivative Security (Instr. 5) |
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) |
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Restricted Stock Units | $ 0 | 11/16/2011 | A | 243 | (1) | (1) | Common Stock, par value $0.01 per share | 70,029 | $ 0 | 70,029 (2) | D | ||||
Restricted Stock Units | $ 0 | 11/16/2011 | A | 349 | (3) | (3) | Common Stock, par value $0.01 per share | 100,349 | $ 0 | 100,349 (4) | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
GROSSMAN MINDY F C/O HSN, INC. 1 HSN DRIVE ST. PETERSBURG, FL 33729 |
X | CEO |
/s/ Linda C. Frazier, as attorney-in-fact | 02/15/2012 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 4(b)(v). |
** | Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
(1) | All of such Restricted Stock Units ("RSUs") vest on April 9, 2012. |
(2) | Represents 69,786 RSUs granted on April 9, 2008 and an additional 243 RSUs issued on November 16, 2011 in connection with the company's cash dividend. |
(3) | Of such RSU's, 50,174 vest on July 31, 2012 and 50,175 vest on July 31, 2013. |
(4) | Represents 100,000 RSUs granted on August 5, 2010 and an additional 349 RSUs issued on November 16, 2011 in connection with the company's cash dividend. |