0001209191-20-001159.txt : 20200103
0001209191-20-001159.hdr.sgml : 20200103
20200103170136
ACCESSION NUMBER: 0001209191-20-001159
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: Shifke Mark L
CENTRAL INDEX KEY: 0001497742
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-34819
FILM NUMBER: 20506515
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
2019-12-31
1
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
2019-12-31
4
F
0
11944
23.30
D
577272
D
Class A Common Stock
2019-12-31
4
F
0
1737
23.30
D
575535
D
Class A Common Stock
2019-12-31
4
F
0
420
23.30
D
575115
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.
The issuer has accelerated vesting and issuance of this portion of the RSU award to accommodate forfeiture of shares related to employment tax withholding obligations of the reporting person arising in connection with retirement eligibility.
The issuer has accelerated vesting and issuance of this portion of the PRSU award to accommodate forfeiture of shares related to employment tax withholding obligations of the reporting person arising in connection with retirement eligibility.
/s/ Lina Davidian as attorney-in-fact for Mark L. Shifke
2020-01-03