0001209191-22-006006.txt : 20220201 0001209191-22-006006.hdr.sgml : 20220201 20220201180748 ACCESSION NUMBER: 0001209191-22-006006 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220129 FILED AS OF DATE: 20220201 DATE AS OF CHANGE: 20220201 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: 22580518 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: 114 W 7TH STREET SUITE 240 CITY: AUSTIN STATE: TX ZIP: 78701 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 2022-01-29 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 2022-01-29 4 F 0 1679 30.18 D 287785 D 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 $30.18 per share, which represented the closing price of the issuer's Class A Common Stock on January 28, 2022, and does not represent a sale by the reporting person. Includes 346 shares acquired under the issuer's employee stock purchase plan on May 14, 2021. /s/ Kristen Juhan as attorney-in-fact for Daniel Henry 2022-02-01