0001209191-21-037019.txt : 20210601 0001209191-21-037019.hdr.sgml : 20210601 20210601213751 ACCESSION NUMBER: 0001209191-21-037019 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210527 FILED AS OF DATE: 20210601 DATE AS OF CHANGE: 20210601 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Osher Jeffrey CENTRAL INDEX KEY: 0001806553 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34819 FILM NUMBER: 21987481 MAIL ADDRESS: STREET 1: 505 MONTGOMERY STREET STREET 2: SUITE 1250 CITY: SAN FRANCISCO STATE: CA ZIP: 94111 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 2021-05-27 0 0001386278 GREEN DOT CORP GDOT 0001806553 Osher Jeffrey 505 MONTGOMERY STREET SUITE 1250 SAN FRANCISCO CA 94111 1 0 0 0 Class A Common Stock 2021-05-27 4 A 0 3107 0.00 A 7291 D Class A Common Stock 104010 I By Harvest Small Cap Partners, L.P. Class A Common Stock 280990 I By Harvest Small Cap Partners Master, Ltd. Class A Common Stock 635000 I By HSCP Strategic II, L.P. Represents shares of Class A Common Stock underlying a restricted stock unit award that will vest as to all underlying shares on the earlier of (i) the first anniversary of the date of grant or (ii) the date of the 2022 annual stockholders meeting. Reporting person is the founding partner of No Street GP LP, an investment advisor to Harvest Small Cap Partners, L.P. Reporting person is the founding partner of No Street GP LP, an investment advisor to Harvest Small Cap Partners Master, Ltd. Reporting person is the founding partner of No Street GP LP, an investment advisor to HSCP Strategic II, L.P. /s/ Kristen Juhan as attorney-in-fact for Jeffrey Osher 2021-06-01