0001209191-16-123356.txt : 20160525 0001209191-16-123356.hdr.sgml : 20160525 20160525192950 ACCESSION NUMBER: 0001209191-16-123356 CONFORMED SUBMISSION TYPE: 3/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150507 FILED AS OF DATE: 20160525 DATE AS OF CHANGE: 20160525 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: 3/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-34819 FILM NUMBER: 161675932 MAIL ADDRESS: STREET 1: 605 E. HUNTINGTON DRIVE, SUITE 205 CITY: MONROVIA STATE: CA ZIP: 91016 3/A 1 doc3a.xml FORM 3/A SUBMISSION X0206 3/A 2015-05-07 2015-05-15 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 681074 D Class A Common Stock 123261 I By daughter Includes 747 shares that were inadvertently omitted from the reporting person's original Form 3, and were also omitted on subsequent Form 4s filed after the original Form 3. Includes 1,358 shares that were inadvertently omitted from the reporting person's original Form 3, and were also omitted on subsequent Form 4s filed after the original Form 3. /s/ Lina Davidian as attorney-in-fact for Mark L. Shifke 2016-05-25