0001209191-20-001118.txt : 20200103 0001209191-20-001118.hdr.sgml : 20200103 20200103165150 ACCESSION NUMBER: 0001209191-20-001118 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20191231 FILED AS OF DATE: 20200103 DATE AS OF CHANGE: 20200103 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Archer Kuan CENTRAL INDEX KEY: 0001629646 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34819 FILM NUMBER: 20506341 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 2019-12-31 0 0001386278 GREEN DOT CORP GDOT 0001629646 Archer Kuan 3465 EAST FOOTHILL BOULEVARD PASADENA CA 91107 0 1 0 0 Chief Product & Tech Officer Class A Common Stock 2019-12-31 4 F 0 33015 23.30 D 128492 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 $23.30 per share, which represented the closing price of the issuer's Class A Common Stock on December 31, 2019, and does not represent a sale by the reporting person. /s/ Lina Davidian as attorney-in-fact for Kuan Archer 2020-01-03