0001209191-21-009962.txt : 20210211 0001209191-21-009962.hdr.sgml : 20210211 20210211213417 ACCESSION NUMBER: 0001209191-21-009962 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210209 FILED AS OF DATE: 20210211 DATE AS OF CHANGE: 20210211 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: HENRY DANIEL R CENTRAL INDEX KEY: 0001253706 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34819 FILM NUMBER: 21622255 MAIL ADDRESS: STREET 1: 13160 BIRCH CITY: OVERLAND PARK STATE: KS ZIP: 66211 ISSUER: 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 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 3465 E. FOOTHILL BLVD CITY: PASADENA STATE: CA ZIP: 91107 BUSINESS PHONE: 6267652000 MAIL ADDRESS: STREET 1: 3465 E. FOOTHILL BLVD CITY: PASADENA STATE: CA ZIP: 91107 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2021-02-09 0 0001386278 GREEN DOT CORP GDOT 0001253706 HENRY DANIEL R 3465 EAST FOOTHILL BOULEVARD PASADENA CA 91107 1 1 0 0 CEO and President Class A Common Stock 2021-02-09 4 A 0 92000 0.00 A 171421 D Class A Common Stock 2021-02-09 4 A 0 161140 0.00 A 332561 D Class A Common Stock 2021-02-09 4 F 0 9051 54.91 D 323510 D Class A Common Stock 2021-02-09 4 F 0 13191 54.91 D 310319 D Represents shares of Class A Common Stock underlying a restricted stock unit award. 25% of the award vested on February 9, 2021, and the remaining 75% will vest ratably over the next three years on each February 9, subject to the reporting person's provision of services to the issuer on each vesting date. Represents shares of Class A Common Stock underlying a performance-based restricted stock unit award granted on March 25, 2020. 25% of the award vested on February 9, 2021 and the remaining 75% will vest ratably over the next three years on December 15, 2021, December 15, 2022, and December 15, 2023, subject to the reporting person's provision of service to the issuer on each vesting date. Represents shares of Class A Common Stock that have been withheld by the issuer to satisfy its income tax withholding and remittance obligations in connection with the net settlement of the RSUs, based on a price of $54.91 per share, which represented the closing price of the issuer's Class A Common Stock on February 9, 2021, and does not represent a sale by the reporting person. Represents shares of Class A Common Stock that have been withheld by the issuer to satisfy its income tax withholding and remittance obligations in connection with the net settlement of the PRSUs, based on a price of $54.91 per share, which represented the closing price of the issuer's Class A Common Stock on February 9, 2021, and does not represent a sale by the reporting person. /s/ Lina Davidian as attorney-in-fact for Daniel Henry 2021-02-11