0001209191-19-052594.txt : 20191004
0001209191-19-052594.hdr.sgml : 20191004
20191004181051
ACCESSION NUMBER: 0001209191-19-052594
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20191002
FILED AS OF DATE: 20191004
DATE AS OF CHANGE: 20191004
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Bibelheimer Jason
CENTRAL INDEX KEY: 0001771636
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-34819
FILM NUMBER: 191139372
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
2019-10-02
0
0001386278
GREEN DOT CORP
GDOT
0001771636
Bibelheimer Jason
3465 EAST FOOTHILL BOULEVARD
PASADENA
CA
91107
0
1
0
0
Chief Human Resources Officer
Class A Common Stock
2019-10-02
4
F
0
5187
23.50
D
46973
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 RSUs, based on a price of $23.50 per share, which represented the closing price of the issuer's Class A Common Stock on October 2, 2019, and does not represent a sale by the reporting person.
Includes 301 shares acquired under the issuer's employee stock purchase plan on May 14, 2019.
/s/ Lina Davidian as attorney-in-fact for Jason Bibelheimer
2019-10-04