0001209191-16-104606.txt : 20160302
0001209191-16-104606.hdr.sgml : 20160302
20160302171203
ACCESSION NUMBER: 0001209191-16-104606
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160229
FILED AS OF DATE: 20160302
DATE AS OF CHANGE: 20160302
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: 161478256
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
2016-02-29
0
0001386278
GREEN DOT CORP
GDOT
0001497742
Shifke Mark L
3465 EAST FOOTHILL BOULEVARD
PASADENA
CA
91107
0
1
0
0
Chief Financial Officer
Class A Common Stock
2016-02-29
4
A
0
145208
0.00
A
830001
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 February 28, 2017, February 28, 2018, February 28, 2019, and February 28, 2020, 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
2016-03-02