0001209191-23-017681.txt : 20230309
0001209191-23-017681.hdr.sgml : 20230309
20230309192205
ACCESSION NUMBER: 0001209191-23-017681
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230307
FILED AS OF DATE: 20230309
DATE AS OF CHANGE: 20230309
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: 23721248
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: 114 W 7TH STREET SUITE 240
CITY: AUSTIN
STATE: TX
ZIP: 78701
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
2023-03-07
0
0001386278
GREEN DOT CORP
GDOT
0001771636
Bibelheimer Jason
114 W 7TH STREET
SUITE 240
AUSTIN
TX
78701
0
1
0
0
Chief Human Resources Officer
Class A Common Stock
2023-03-07
4
A
0
14729
0.00
A
91129
D
Class A Common Stock
2023-03-07
4
A
0
8632
0.00
A
99761
D
Class A Common Stock
2023-03-07
4
F
0
747
18.13
D
99014
D
Represents shares of Class A Common Stock underlying a restricted stock unit award that vests as to 1/3 of the shares on each of March 7, 2024, March 7, 2025, and March 7, 2026, subject to the reporting person's provision of services to the issuer on each vesting date.
Represents shares of Class A Common Stock underlying a performance-based restricted stock unit award granted on January 29, 2021. 25% of the award vested on March 7, 2023 and the remaining 75% will vest ratably over the next three years on December 15, 2023, December 15, 2024, and December 15, 2025, subject to the reporting person's provision of service to the issuer on each vesting date.
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 $18.13 per share, which represented the closing price of the issuer's Class A Common Stock on March 7, 2023, and does not represent a sale by the reporting person.
/s/ Kristen Juhan as attorney-in-fact for Jason Bibelheimer
2023-03-09