0001209191-18-021467.txt : 20180323 0001209191-18-021467.hdr.sgml : 20180323 20180323174157 ACCESSION NUMBER: 0001209191-18-021467 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180315 FILED AS OF DATE: 20180323 DATE AS OF CHANGE: 20180323 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Shifke Mark L CENTRAL INDEX KEY: 0001497742 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-34819 FILM NUMBER: 18711201 MAIL ADDRESS: STREET 1: 605 E. HUNTINGTON DRIVE, SUITE 205 CITY: MONROVIA STATE: CA ZIP: 91016 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/A 1 doc4a.xml FORM 4/A SUBMISSION X0306 4/A 2018-03-15 2018-03-16 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 2018-03-15 4 F 0 4197 67.04 D 714757 D 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 $67.04 per share, which represented the closing price of the issuer's Class A Common Stock on March 15, 2018, and does not represent a sale by the reporting person. This amended Form 4 is being filed to correct the number of shares of Class A Common Stock withheld by the issuer to satisfy its income tax withholding and remittance obligations in connection with the net settlement of PRSUs. /s/ Lina Davidian as attorney-in-fact for Mark L. Shifke 2018-03-23