SEC FORM 3 SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF 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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1. Name and Address of Reporting Person*
Davis Stephen J

(Last) (First) (Middle)
601 108TH AVENUE NE, SUITE 1200

(Street)
BELLEVUE WA 98004

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
03/02/2017
3. Issuer Name and Ticker or Trading Symbol
HASBRO INC [ HAS ]
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
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock (Par Value $.50 per share) 41,825.27(1) D
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Stock Option (Right to Buy)(2) (3) 02/12/2021 Common Stock 20,000 52.11 D
Stock Option (Right to Buy)(2) (4) 02/11/2022 Common Stock 23,270 61.77 D
Stock Option (Right to Buy)(2) (5) 02/11/2023 Common Stock 22,755 74.42 D
Stock Option (Right to Buy)(2) (6) 02/21/2024 Common Stock 20,370 98.8 D
Explanation of Responses:
1. The Amount of Securities Beneficially Owned includes 11,441 shares of unvested restricted stock units.
2. These options were granted pursuant to an employee stock option plan in accordance with Rule 16b-3 and have tandem tax withholding rights.
3. 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.
4. 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.
5. 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.
6. 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.
Tarrant Sibley, P/O/A for Stephen J. Davis 03/13/2017
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5 (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).
Note: 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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