0001209191-19-033297.txt : 20190529 0001209191-19-033297.hdr.sgml : 20190529 20190529190204 ACCESSION NUMBER: 0001209191-19-033297 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190527 FILED AS OF DATE: 20190529 DATE AS OF CHANGE: 20190529 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Ricci John C CENTRAL INDEX KEY: 0001494394 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34819 FILM NUMBER: 19863813 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 1 doc4.xml FORM 4 SUBMISSION X0306 4 2019-05-27 0 0001386278 GREEN DOT CORP GDOT 0001494394 Ricci John C 3465 EAST FOOTHILL BOULEVARD PASADENA CA 91107 0 1 0 0 General Counsel and Secretary Class A Common Stock 2019-05-27 4 F 0 3828 48.84 D 42840 D Class A Common Stock 4460 I By minor children 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 RSUs, based on a price of $48.84 per share, which represented the closing price of the issuer's Class A Common Stock on May 24, 2019, and does not represent a sale by the reporting person. The reporting person disclaims beneficial ownership of these securities, and this report shall not be deemed an admission that the reporting person is the beneficial owner of such securities for purposes of Section 16 or for any other purpose. /s/ Lina Davidian as attorney-in-fact for John C. Ricci 2019-05-29