- Statement of Changes in Beneficial Ownership (4)
July 01 2011 - 5:27PM
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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3235-0287
Expires:
February 28, 2011
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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)
6/29/2011
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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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6/29/2011
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M
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20000
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A
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$3.51
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44000
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D
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Common Stock
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6/29/2011
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M
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188196
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A
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$2.36
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232196
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D
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Common Stock
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6/29/2011
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S
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129000
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D
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$7.5879
(1)
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103196
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D
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Common Stock
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6/30/2011
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S
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41000
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D
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$7.6528
(2)
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62196
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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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Stock Option (right to buy)
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$3.51
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6/29/2011
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M
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20000
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6/11/2008
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6/11/2018
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Common Stock
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20000
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$0.00
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0
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D
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Stock Option (right to buy)
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$2.36
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6/29/2011
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M
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188196
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(3)
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6/25/2018
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Common Stock
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188196
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$0.00
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20804
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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 129,000 shares of common stock of ValueVision Media, Inc. sold by the reporting person in multiple transactions on June 29, 2011, with the sale prices ranging from $7.50 to $7.88 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 sold at each separate price.
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(
2)
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Reflects the weighted average price of 41,000 shares of common stock of ValueVision Media, Inc. sold by the reporting person in multiple transactions on June 30, 2011, with the sale prices ranging from $7.615 to $7.685 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 sold at each separate price.
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(
3)
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As of June 30, 2011, 479,196 shares of the option grant have vested, the remaining shares will vest in the amount of 10,418 shares on July 25, 2011 and 10,386 shares on August 25, 2011. Acceleration of vesting occurs under certain conditions.
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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/ Teresa J. Dery, Attorney-in-fact
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7/1/2011
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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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