0001209191-21-053650.txt : 20210827 0001209191-21-053650.hdr.sgml : 20210827 20210827170556 ACCESSION NUMBER: 0001209191-21-053650 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210825 FILED AS OF DATE: 20210827 DATE AS OF CHANGE: 20210827 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Brewster J Chris CENTRAL INDEX KEY: 0001289611 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34819 FILM NUMBER: 211219988 MAIL ADDRESS: STREET 1: 3110 HAYES ROAD, SUITE 300 CITY: HOUSTON STATE: TX ZIP: 77082 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 2021-08-25 0 0001386278 GREEN DOT CORP GDOT 0001289611 Brewster J Chris 3465 E. FOOTHILL BLVD. PASADENA CA 91107 1 0 0 0 Class A Common Stock 2021-08-25 4 A 0 1081 0.00 A 69696 D Represents shares of Class A Common Stock underlying a restricted stock unit award that will vest as to all underlying shares on the first anniversary of the date of grant. /s/ Kristen Juhan as attorney-in-fact for J. Chris Brewster 2021-08-27