Sec Form 4/A Filing - Brand William C @ HSN, Inc. - 2017-12-29

Insider filing report for Changes in Beneficial Ownership
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FORM 4/A
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
Brand William C
2. Issuer Name and Ticker or Trading Symbol
HSN, Inc. [ HSNI]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director _____ 10% Owner
X __ Officer (give title below) _____ Other (specify below)
President, HSN & CMO, HSNi
(Last) (First) (Middle)
C/O HSN, INC., 1 HSN DRIVE
3. Date of Earliest Transaction (MM/DD/YY)
12/29/2017
(Street)
ST. PETERSBURG, FL33729
4. If Amendment, Date Original Filed (MM/DD/YY)
01/03/2018
6. Individual or Joint/Group Filing (Check Applicable Line)
__ X __ Form filed by One Reporting Person
_____ Form filed by More than One Reporting Person
(City) (State) (Zip)
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Transaction Date (MM/DD/YY) 2A. Deemed Execution Date, if any (MM/DD/YY) 3. Transaction Code
(Instr. 8)
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
6. Ownership Form: Direct (D) or Indirect (I)
(Instr. 4)
7. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V Amount (A) or (D) Price
Common Stock, par value $0.01 per share 12/29/2017 D 40,296.559 ( 1 ) D 0 ( 1 ) D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
( e.g. , puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security
(Instr. 3)
2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (MM/DD/YY) 3A. Deemed Execution Date, if any (MM/DD/YY) 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
(MM/DD/YY)
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)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Restricted Stock Units ( 2 ) 12/29/2017 D 13,168.417 ( 2 ) ( 3 ) ( 3 ) Common Stock, par value $0.01 per share 13,168.417 ( 2 ) ( 2 ) 0 ( 2 ) D
Share Appreciation Right $ 5.02 ( 4 ) 12/29/2017 D 12,934 ( 4 ) 12/22/2009( 5 ) 12/22/2018( 5 ) Common Stock, par value $0.01 per share 12,934 ( 4 ) ( 4 ) 0 ( 4 ) D
Share Appreciation Right $ 3.69 ( 4 ) 12/29/2017 D 8,122 ( 4 ) 02/25/2010( 5 ) 02/25/2019( 5 ) Common Stock, par value $0.01 per share 8,122 ( 4 ) ( 4 ) 0 ( 4 ) D
Share Appreciation Right $ 17.39 ( 4 ) 12/29/2017 D 14,179 ( 4 ) 02/23/2011( 5 ) 02/23/2020( 5 ) Common Stock, par value $0.01 per share 14,179 ( 4 ) ( 4 ) 0 ( 4 ) D
Share Appreciation Right $ 25.86 ( 4 ) 12/29/2017 D 14,327 ( 4 ) 02/09/2012( 5 ) 02/09/2021( 5 ) Common Stock, par value $0.01 per share 14,327 ( 4 ) ( 4 ) 0 ( 4 ) D
Share Appreciation Right $ 31 ( 4 ) 12/29/2017 D 15,987 ( 4 ) 02/21/2013( 5 ) 02/21/2022( 5 ) Common Stock, par value $0.01 per share 15,987 ( 4 ) ( 4 ) 0 ( 4 ) D
Share Appreciation Right $ 51.58 ( 4 ) 12/29/2017 D 10,673 ( 4 ) 02/12/2014( 5 ) 02/12/2023( 5 ) Common Stock, par value $0.01 per share 10,673 ( 4 ) ( 4 ) 0 ( 4 ) D
Share Appreciation Right $ 47.72 ( 4 ) 12/29/2017 D 19,098 ( 4 ) 02/12/2015( 5 ) 02/12/2024( 5 ) Common Stock, par value $0.01 per share 19,098 ( 4 ) ( 4 ) 0 ( 4 ) D
Share Appreciation Right $ 51.38 ( 4 ) 12/29/2017 D 22,347 ( 4 ) 07/07/2015( 5 ) 07/07/2024( 5 ) Common Stock, par value $0.01 per share 22,347 ( 4 ) ( 4 ) 0 ( 4 ) D
Share Appreciation Right $ 65.24 ( 4 ) 12/29/2017 D 28,572 ( 4 ) 02/10/2016( 5 ) 02/10/2025( 5 ) Common Stock, par value $0.01 per share 28,572 ( 4 ) ( 4 ) 0 ( 4 ) D
Share Appreciation Right $ 44.86 ( 4 ) 12/29/2017 D 53,352 ( 4 ) 02/16/2017( 5 ) 02/16/2026( 5 ) Common Stock, par value $0.01 per share 53,352 ( 4 ) ( 4 ) 0 ( 4 ) D
Share Appreciation Right $ 38.8 ( 4 ) 12/29/2017 D 58,824 ( 4 ) 02/23/2018( 5 ) 02/23/2027( 5 ) Common Stock, par value $0.01 per share 58,824 ( 4 ) ( 4 ) 0 ( 4 ) D
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
Brand William C
C/O HSN, INC.
1 HSN DRIVE
ST. PETERSBURG, FL33729
President, HSN & CMO, HSNi
Signatures
/s/ Harold Herman, as attorney-in-fact 01/05/2018
Signature of Reporting Person Date
Explanation of Responses:
( 1 )Per the terms of the Agreement and Plan of Merger, dated as of July 5, 2017, by and among HSN, Inc., a Delaware corporation ("HSNI"), Liberty Interactive Corporation, a Delaware corporation, and Liberty Horizon, Inc., a Delaware corporation and a direct, wholly-owned subsidiary of Liberty Interactive (the "Merger Agreement"), each share of HSNI common stock was converted to 1.65 shares of Liberty Interactive Series A QVC Group common stock ("Liberty QVCA common stock") rounded down to the nearest number of whole shares with any fractional shares being paid out in cash based on the market closing price of Liberty QVCA common stock on December 29, 2017.
( 2 )Each Restricted Stock Unit ("RSU") is the economic equivalent of one share of HSNI common stock. Per the terms of the Merger Agreement, each RSU was converted into an RSU equivalent to 1.65 shares of Liberty QVCA common stock and rounded to the nearest whole share.
( 3 )Per the terms of the award agreement, upon the occurrence of the later of (i) the effective time of the Merger Agreement and (ii) the individual's separation from service, each unvested RSU becomes fully vested.
( 4 )Per the terms of the Merger Agreement, the Share Appreciation Right ("SAR") was converted into a SAR for shares of Liberty QVCA common stock by multiplying the number of shares in Table II, Column 7 by 1.65 (rounded down to the nearest number of whole shares) at an exercise price per share equal to the exercise price in Table II, Column 2 divided by 1.65 and rounded up to the nearest whole cent.
( 5 )Per the terms of the award agreement: (i) to the extent unvested, during the one year period following a change in control the award will vest upon the participant's separation from service (other than for cause), and (ii) after a separation from service during the one year period following a change in control, the SAR expires on the earlier of (a) the original expiration date of the SAR or (b) the later of (x) one year after the change in control or (y) the applicable time period set forth in Section 5(i) of the HSNI Second Amended and Restated 2008 Stock and Annual Incentive Plan.

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