Initial Statement of Beneficial Ownership (3)
March 13 2017 - 6:20PM
Edgar (US Regulatory)
FORM 3
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
OMB Number:
3235-0104
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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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1. Name and Address of Reporting Person
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Davis Stephen J
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2. Date of Event Requiring Statement (MM/DD/YYYY)
3/2/2017
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3. Issuer Name
and
Ticker or Trading Symbol
HASBRO INC [HAS]
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(Last)
(First)
(Middle)
601 108TH AVENUE NE, SUITE 1200
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4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
_____ Director
_____ 10% Owner
___
X
___ Officer (give title below)
_____ Other (specify below)
EVP, Chief Content Officer /
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(Street)
BELLEVUE, WA 98004
(City)
(State)
(Zip)
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5. 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 Beneficially Owned
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1.Title of Security
(Instr. 4)
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2. Amount of Securities Beneficially Owned
(Instr. 4)
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3. Ownership Form: Direct (D) or Indirect (I)
(Instr. 5)
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4. Nature of Indirect Beneficial Ownership
(Instr. 5)
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Common Stock (Par Value $.50 per share)
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41825.27
(1)
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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. 4)
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2. Date Exercisable and Expiration Date
(MM/DD/YYYY)
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3. Title and Amount of Securities Underlying Derivative Security
(Instr. 4)
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4. Conversion or Exercise Price of Derivative Security
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5. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 5)
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6. Nature of Indirect Beneficial Ownership
(Instr. 5)
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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)
(2)
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(3)
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2/12/2021
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Common Stock
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20000
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$52.11
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D
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Stock Option (Right to Buy)
(2)
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(4)
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2/11/2022
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Common Stock
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23270
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$61.77
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D
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Stock Option (Right to Buy)
(2)
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(5)
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2/11/2023
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Common Stock
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22755
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$74.42
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D
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Stock Option (Right to Buy)
(2)
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(6)
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2/21/2024
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Common Stock
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20370
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$98.8
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D
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Explanation of Responses:
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(
1)
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The Amount of Securities Beneficially Owned includes 11,441 shares of unvested restricted stock units.
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(
2)
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These options were granted pursuant to an employee stock option plan in accordance with Rule 16b-3 and have tandem tax withholding rights.
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(
3)
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6,666 of the options became exercisable on February 12, 2015 and 6,667 of the options became exercisable on each of February 12, 2016 and February 12, 2017.
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(
4)
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7,756 of the options became exercisable on February 11, 2016 and 7,757 of the options became exercisable on February 11, 2017. 7,757 of the option will become exercisable on February 11, 2018.
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(
5)
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7,585 of the options became exercisable on February 23, 2017 and 7,585 of the options will become exercisable on each February 23, 2018 and February 23, 2019 subject to the optionee's continued employment through those dates.
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(
6)
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6,790 of the options become exercisable each on February 21, 2018, February 21, 2019 and February 21, 2020 subject to the optionee's continued employment through those dates.
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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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Davis Stephen J
601 108TH AVENUE NE, SUITE 1200
BELLEVUE, WA 98004
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EVP, Chief Content Officer
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Signatures
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Tarrant Sibley, P/O/A for Stephen J. Davis
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3/13/2017
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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 5(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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