0001209191-15-048115.txt : 20150529 0001209191-15-048115.hdr.sgml : 20150529 20150529201745 ACCESSION NUMBER: 0001209191-15-048115 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150527 FILED AS OF DATE: 20150529 DATE AS OF CHANGE: 20150529 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Shifke Mark L CENTRAL INDEX KEY: 0001497742 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34819 FILM NUMBER: 15901054 MAIL ADDRESS: STREET 1: 605 E. HUNTINGTON DRIVE, SUITE 205 CITY: MONROVIA STATE: CA ZIP: 91016 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2015-05-27 0 0001386278 GREEN DOT CORP GDOT 0001497742 Shifke Mark L 3465 EAST FOOTHILL BOULEVARD PASADENA CA 91107 0 1 0 0 Acting Chief Financial Officer Class A Common Stock 2015-05-27 4 A 0 21227 0.00 A 701554 D Class A Common Stock 121903 I By daughter Represents shares of Class A Common Stock underlying a restricted stock unit award that will vest as to 1/4 of the shares on each of May 27, 2016, May 27, 2017, May 27, 2018, and May 27, 2019, subject to the reporting person's provision of service to the issuer on each vesting date. /s/ Lina Davidian as attorney-in-fact for Mark L. Shifke 2015-05-29