0001209191-17-050317.txt : 20170825 0001209191-17-050317.hdr.sgml : 20170825 20170825170922 ACCESSION NUMBER: 0001209191-17-050317 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170824 FILED AS OF DATE: 20170825 DATE AS OF CHANGE: 20170825 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Bridgforth-Hodges Glinda CENTRAL INDEX KEY: 0001628335 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34819 FILM NUMBER: 171052650 MAIL ADDRESS: STREET 1: 3465 EAST FOOTHILL BOULEVARD CITY: PASADENA STATE: CA ZIP: 91107 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 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2017-08-24 0 0001386278 GREEN DOT CORP GDOT 0001628335 Bridgforth-Hodges Glinda 3465 EAST FOOTHILL BOULEVARD PASADENA CA 91107 1 0 0 0 Class A Common Stock 2017-08-24 4 A 0 421 0.00 A 5424 D Represents shares of Class A Common Stock underlying a restricted stock unit award that will vest as to all underlying shares on the date of the 2018 annual stockholders meeting. /s/ Lina Davidian as attorney-in-fact for Glinda Bridgforth Hodges 2017-08-25