- Statement of Changes in Beneficial Ownership (4)
January 07 2010 - 6:03PM
Edgar (US Regulatory)
FORM 4
[ ]
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue.
See
Instruction 1(b).
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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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(f) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
*
Buck John D
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2. Issuer Name
and
Ticker or Trading Symbol
VALUEVISION MEDIA INC
[
VVTV
]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
__
X
__ Director
_____ 10% Owner
_____ Officer (give title below)
_____ Other (specify below)
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(Last)
(First)
(Middle)
6740 SHADY OAK ROAD
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3. Date of Earliest Transaction
(MM/DD/YYYY)
1/5/2010
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(Street)
EDEN PRAIRIE, MN 55344
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
_
X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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1.Title of Security
(Instr. 3)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. Code
(Instr. 8)
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4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
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5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
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7. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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Amount
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(A) or (D)
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Price
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Common Stock
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1/5/2010
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M
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174800
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A
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$2.36
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239300
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D
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Common Stock
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1/5/2010
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S
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174800
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D
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$5.0055
(1)
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64500
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D
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Common Stock
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1/6/2010
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M
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100200
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A
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$2.36
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164700
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D
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Common Stock
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1/6/2010
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S
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100200
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D
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$5.009
(2)
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64500
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D
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Table II - Derivative Securities Beneficially Owned (
e.g.
, puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security
(Instr. 3)
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2. Conversion or Exercise Price of Derivative Security
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3. Trans. Date
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3A. Deemed Execution Date, if any
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4. Trans. Code
(Instr. 8)
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5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
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6. Date Exercisable and Expiration Date
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7. Title and Amount of Securities Underlying Derivative Security
(Instr. 3 and 4)
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8. Price of Derivative Security
(Instr. 5)
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9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4)
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10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4)
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11. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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(A)
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(D)
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Date Exercisable
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Expiration Date
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Title
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Amount or Number of Shares
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Common Stock (option to buy)
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$2.36
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1/5/2010
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M
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174800
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(3)
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8/25/2018
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Common Stock
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174800
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$0.00
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325200
(4)
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D
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Common Stock (option to buy)
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$2.36
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1/6/2010
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M
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100200
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(3)
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8/25/2018
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Common Stock
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100200
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$0.00
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225000
(4)
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D
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Explanation of Responses:
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(
1)
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Reflects the weighted average price of 174,800 shares of Common Stock of ValueVision Media, Inc. sold by the reporting person in multiple transactions on January 5, 2010, with the sale prices ranging from $5.00 to $5.16 per share. The reporting person undertakes to provide upon request by the U.S. Securities and Exchange Commission staff, the issuer, or a security holder of the issuer, full information regarding the number of shares purchased or sold at each separate price.
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(
2)
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Reflects the weighted average price of 100,200 shares of Common Stock of ValueVision Media, Inc. sold by the reporting person in multiple transactions on January 6, 2010, with the sale prices ranging from $5.00 to $5.04 per share. The reporting person undertakes to provide upon request by the U.S. Securities and Exchange Commission staff, the issuer, or a security holder of the issuer, full information regarding the number of shares purchased or sold at each separate price.
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(
3)
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As of December 25, 2009, 291,672 of the shares of the option grant vested, the remaining shares will vest equal in installments of 10,418 shares on the 25th day of each month from January 2010 through July 2011, and as to 10,386 shares on August 25, 2011. Acceleration of vesting occurs under certain conditions.
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(
4)
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This Form 4 reports the number of shares remaining under the original option grant of 500,000 shares granted to the reporting person on August 25, 2008.
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Reporting Owners
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Reporting Owner Name / Address
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Relationships
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Director
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10% Owner
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Officer
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Other
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Buck John D
6740 SHADY OAK ROAD
EDEN PRAIRIE, MN 55344
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X
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Signatures
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/s/ Nathan E. Fagre, Attorney-in-Fact
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1/7/2010
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**
Signature of Reporting Person
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Date
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
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*
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If the form is filed by more than one reporting person,
see
Instruction 4(b)(v).
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**
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Intentional misstatements or omissions of facts constitute Federal Criminal Violations.
See
18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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Note:
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File three copies of this Form, one of which must be manually signed. If space is insufficient,
see
Instruction 6 for procedure.
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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.
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