-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, AgEXhaDISwI/B3QnqN5Q+bL0flhjKWjtWjUweJ2T7G21euL9LTz9xHF+zG7dN/Dy tvJGYAMb84YYvKpxtZ84HA== 0000950123-11-013012.txt : 20110214 0000950123-11-013012.hdr.sgml : 20110214 20110211193205 ACCESSION NUMBER: 0000950123-11-013012 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20110214 DATE AS OF CHANGE: 20110211 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: Streit Steven W CENTRAL INDEX KEY: 0001494395 FILING VALUES: FORM TYPE: SC 13G MAIL ADDRESS: STREET 1: 605 E. HUNTINGTON DRIVE, SUITE 205 CITY: MONROVIA STATE: CA ZIP: 91016 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: GREEN DOT CORP CENTRAL INDEX KEY: 0001386278 STANDARD INDUSTRIAL CLASSIFICATION: FINANCE SERVICES [6199] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FILING VALUES: FORM TYPE: SC 13G SEC ACT: 1934 Act SEC FILE NUMBER: 005-85599 FILM NUMBER: 11601478 BUSINESS ADDRESS: STREET 1: 605 E HUNTINGTON DRIVE STREET 2: SUITE 205 CITY: MONROVIA STATE: CA ZIP: 91016 BUSINESS PHONE: 6267753400 MAIL ADDRESS: STREET 1: 605 E HUNTINGTON DRIVE STREET 2: SUITE 205 CITY: MONROVIA STATE: CA ZIP: 91016 SC 13G 1 v58679sc13g.htm SC 13G sc13g

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

SCHEDULE 13G

(Rule 13d-102)

INFORMATION TO BE INCLUDED IN STATEMENT FILED PURSUANT TO §240.13d-1(b),
(c) AND (d) AND AMENDMENTS THERETO FILED PURSUANT TO §240.13d-2

Green Dot Corporation
(Name of Issuer)
Class A Common Stock, par value $0.001 per share
(Title of Class of Securities)
39304D 102
(CUSIP Number)
December 31, 2010
(Date of Event Which Requires Filing of this Statement)

Check the appropriate box to designate the rule pursuant to which this Schedule is filed:

     o Rule 13d-1(b)

     o Rule 13d-1(c)

     þ Rule 13d-1(d)

* The remainder of this cover page shall be filled out for a reporting person’s initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter disclosures provided in a prior cover page.

The information required on the remainder of this cover page shall not be deemed to be “filed” for the purpose of Section 18 of the Securities Exchange Act of 1934 (“Act”) or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes).

 
 


 

SCHEDULE 13G
                     
CUSIP No.
 
39304D 102
  Page  
2
  of  
5 Pages

 

           
1   NAME OF REPORTING PERSON

    Steven W. Streit
     
2   CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (SEE INSTRUCTIONS)

  (a)   o
  (b)   o
     
3   SEC USE ONLY
   
   
     
4   CITIZENSHIP OR PLACE OF ORGANIZATION
   
  U.S.
       
  5   SOLE VOTING POWER
     
NUMBER OF   4,126,143 shares (1)(2)
       
SHARES 6   SHARED VOTING POWER
BENEFICIALLY    
OWNED BY   33,020 shares (2)(3)
       
EACH 7   SOLE DISPOSITIVE POWER
REPORTING    
PERSON   4,126,143 shares (1)(2)
       
WITH 8   SHARED DISPOSITIVE POWER
     
    33,020 shares (2)(3)
     
9   AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
   
  4,159,163 shares (1)(2)(3)
     
10   CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS)
   
  o
     
11   PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
   
  22.0%*
     
12   TYPE OF REPORTING PERSON (SEE INSTRUCTIONS)
   
  IN
(1)   Represents 2,659,294 shares held by the Steven W. Streit Family Trust DTD 9/30/2005, 400,000 shares held by the Streit 2009 GRAT A DTD 12/30/2009 and 20,000 shares held by the Streit 2009 GRAT B DTD 12/30/2009, for each of which trusts the Reporting Person is the trustee, 210,247 shares held by the Reporting Person and 836,602 shares subject to options held by the Reporting Person that are exercisable within 60 days of December 31, 2010.
 
(2)   Represents Class B common stock of the Issuer. The Class B common stock is convertible at the holder’s option into the Issuer’s Class A common stock on a 1-for-1 basis.
 
(3)   Represents 33,020 shares held by the Reporting Person’s children.
 
*   Based on 14,761,743 shares of Class A common stock outstanding as of December 31, 2010, as reported by the Issuer to the Reporting Person, plus the number of shares of Class B common stock held by the Reporting Person or affiliates of the Reporting Person, which are treated as outstanding only for the purpose of computing the percentage ownership of the Reporting Person.


 

SCHEDULE 13G
                     
CUSIP No.
 
39304D 102
  Page  
3
  of  
5 Pages
Item 1.  
     (a) Name of Issuer:
          Green Dot Corporation (the “Issuer”)
     (b) Address of Issuer’s Principal Executive Offices:
          605 East Huntington Drive, Suite 205
          Monrovia, CA 91016
Item 2.  
     (a) Name of Person Filing:
          Steven W. Streit (the “Reporting Person”)
     (b) Address of Principal Business Office:
          c/o Green Dot Corporation
          605 East Huntington Drive, Suite 205
          Monrovia, CA 91016
     (c) Citizenship:
          U.S.
     (d) Title of Class of Securities:
          Class A Common Stock, par value $0.001 per share
     (e) CUSIP Number:
          39304D 102
Item 3.   Not applicable
Item 4.   Ownership.
     The following information with respect to the ownership of the Class A Common Stock of the Issuer by the Reporting Person is provided as of December 31, 2010:
     (a) Amount beneficially owned:
          See Row 9 of cover page for the Reporting Person
     (b) Percent of class:
          See Row 11 of cover page for the Reporting Person

 


 

                     
CUSIP No.
 
39304D 102
  Page  
4
  of  
5 Pages
     (c) Number of shares as to which the person has:
  (i)   Sole power to vote or to direct the vote:
See Row 5 of cover page for the Reporting Person
 
  (ii)   Shared power to vote or to direct the vote:
See Row 6 of cover page for the Reporting Person
 
  (iii)   Sole power to dispose or to direct the disposition of:
See Row 7 of cover page for the Reporting Person
 
  (iv)   Shared power to dispose or to direct the disposition of:
See Row 8 of cover page for the Reporting Person
Item 5.   Ownership of Five Percent or Less of a Class.
     Not applicable
Item 6.   Ownership of More Than Five Percent on Behalf of Another Person.
     Not applicable
Item 7.   Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on by the Parent Holding Company or Control Person.
     Not applicable
Item 8.   Identification and Classification of Members of the Group.
     Not applicable
Item 9.   Notice of Dissolution of Group.
     Not applicable
Item 10.   Certifications.
     Not applicable

 


 

SCHEDULE 13G
                     
CUSIP No.
 
39304D 102
  Page  
5
  of  
5 Pages
SIGNATURE
     After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct.
         
     
Dated: February 10, 2011  /s/ Steven W. Streit    
  Name:   Steven W. Streit   
     
 

 

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