0001209191-17-019973.txt : 20170310
0001209191-17-019973.hdr.sgml : 20170310
20170310194817
ACCESSION NUMBER: 0001209191-17-019973
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170308
FILED AS OF DATE: 20170310
DATE AS OF CHANGE: 20170310
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: 17683530
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
2017-03-08
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
2017-03-08
4
A
0
38242
0.00
A
800400
D
Class A Common Stock
2017-03-08
4
F
0
5338
0.00
D
795062
D
Represents shares of Class A Common Stock underlying a performance-based restricted stock unit award granted on March 25, 2016. 25% of the award vested on March 8, 2017 and the remaining 75% will vest ratably over the next three years on each December 31, subject to the reporting person's provision of service to the issuer on each vesting date.
Represents shares of Class A Common Stock that have been withheld by the issuer to satisfy its income tax withholding and remittance obligations in connection with the net settlement of the PRSUs, based on a price of $29.36 per share, which represented the closing price of the issuer's Class A Common Stock on March 8, 2017, and does not represent a sale by the reporting person.
/s/ Lina Davidian as attorney-in-fact for Mark L. Shifke
2017-03-10