0001209191-21-020528.txt : 20210315 0001209191-21-020528.hdr.sgml : 20210315 20210315172703 ACCESSION NUMBER: 0001209191-21-020528 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210311 FILED AS OF DATE: 20210315 DATE AS OF CHANGE: 20210315 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: 21742638 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 2021-03-11 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 2021-03-11 4 F 0 643 51.71 D 94785 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 $51.71 per share, which represented the closing price of the issuer's Class A Common Stock on March 11, 2021 and does not represent a sale by the reporting person. /s/ Kristen Juhan as attorney-in-fact for Jason Bibelheimer 2021-03-15