0001062993-24-016125.txt : 20240904 0001062993-24-016125.hdr.sgml : 20240904 20240904195205 ACCESSION NUMBER: 0001062993-24-016125 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240830 FILED AS OF DATE: 20240904 DATE AS OF CHANGE: 20240904 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Furey Thomas M CENTRAL INDEX KEY: 0001360631 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37584 FILM NUMBER: 241279001 MAIL ADDRESS: STREET 1: 839 W T STREET CITY: WASHOUGAL STATE: WA ZIP: 98671 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: CPI Card Group Inc. CENTRAL INDEX KEY: 0001641614 STANDARD INDUSTRIAL CLASSIFICATION: COMMERCIAL PRINTING [2750] ORGANIZATION NAME: 04 Manufacturing IRS NUMBER: 260344657 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 10368 WEST CENTENNIAL RD CITY: LITTLETON STATE: CO ZIP: 80127 BUSINESS PHONE: 720-681-6304 MAIL ADDRESS: STREET 1: 10368 WEST CENTENNIAL RD CITY: LITTLETON STATE: CO ZIP: 80127 FORMER COMPANY: FORMER CONFORMED NAME: CPI Holdings I, Inc. DATE OF NAME CHANGE: 20150506 4 1 form4.xml STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES X0508 4 2024-08-30 0001641614 CPI Card Group Inc. PMTS 0001360631 Furey Thomas M C/O CPI CARD GROUP INC. 10368 W. CENTENNIAL RD LITTLETON CO 80127 1 0 0 0 0 Common Stock 2024-08-31 4 M 0 1111 A 7622 D Restricted Stock Units 2024-08-30 4 A 0 924 0 A Common Stock 924 924 D Restricted Stock Units 2024-08-31 4 M 0 1111 0 D Common Stock 1111 0 D Each restricted stock unit ("RSU") represents the right to receive one common share of the Issuer upon vesting of such RSU. This line represents deferred RSUs. The shares of Common Stock underlying these RSUs will be issued to the Reporting Person following the Reporting Person's separation from service with the Issuer. The 924 RSUs reported on this line vest on the first anniversary of the August 30, 2024 award date, subject to the reporting person's continued service through such date or as otherwise provided for in the applicable award agreement. This line reports 100% of the RSUs that were awarded on the August 31, 2023 award date, which vested on the 12 month anniversary of the award date. Jessica Browne, attorney-in-fact 2024-09-04