Green Dot Corporation |
(Name of Issuer) |
Class A Common Stock, par value $0.001 per share |
(Title of Class of Securities) |
39304D 102 |
(CUSIP Number) |
December 31, 2019 |
(Date of Event Which Requires Filing of this Statement) |
CUSIP No. 39304D 102 | Page 2 of 5 Pages |
1 | NAME OF REPORTING PERSON Steven W. Streit | ||
2 | CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (See Instructions) (a) o (b) o | ||
3 | SEC USE ONLY | ||
4 | CITIZENSHIP OR PLACE OF ORGANIZATION U.S. | ||
NUMBER OF | 5 | SOLE VOTING POWER 3,192,555 shares (1) | |
SHARES BENEFICIALLY OWNED | 6 | SHARED VOTING POWER | |
BY EACH REPORTING | 7 | SOLE DISPOSITIVE POWER 3,192,555 shares (1) | |
PERSON WITH | 8 | SHARED DISPOSITIVE POWER | |
9 | AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 3,192,555 shares (1) | ||
10 | CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (See Instructions) o | ||
11 | PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9) 6.2% * | ||
12 | TYPE OF REPORTING PERSON (See Instructions) IN |
(1) | Represents 3,192,555 shares of Class A common stock of the issuer (the “Class A Stock”) held by the Steven W. Streit Family Trust DTD 9/30/2005, of which the Reporting Person is the trustee as of December 31, 2019. |
* | Based on 51,807,360 shares of Class A Stock outstanding as of December 31, 2019, as reported by the issuer to the Reporting Person. |
CUSIP No. 39304D 102 | Page 3 of 5 Pages |
Item 1. | |||
(a) | Name of Issuer: | ||
Green Dot Corporation (the "Issuer") | |||
(b) | Address of Issuer's Principal Executive Offices: | ||
3465 East Foothill Blvd. Pasadena, CA 91107 | |||
Item 2. | |||
(a) | Name of Person Filing: | ||
Steven W. Streit (the “Reporting Person”) | |||
(b) | Address of Principal Business Office: | ||
c/o Green Dot Corporation 3465 East Foothill Blvd. Pasadena, CA 91107 | |||
(c) | Citizenship: | ||
U.S. | |||
(d) | Title of Class of Securities: | ||
Class A Common Stock, par value $0.001 per share | |||
(e) | CUSIP Number: | ||
39304D 102 | |||
Item 3. | Not applicable | ||
Item 4. | Ownership | ||
The following information with respect to the ownership of the Class A Common Stock of the Issuer by the Reporting Person is provided as of December 31, 2019: | |||
(a) | Amount beneficially owned: | ||
See Row 9 of cover page for the Reporting Person | |||
(b) | Percent of class: | ||
See Row 11 of cover page for the Reporting Person |
CUSIP No. 39304D 102 | Page 4 of 5 Pages |
(c) | Number of shares as to which the person has: | ||
(i) | Sole power to vote or to direct the vote: | ||
See Row 5 of cover page for the Reporting Person | |||
(ii) | Shared power to vote or to direct the vote: | ||
See Row 6 of cover page for the Reporting Person | |||
(iii) | Sole power to dispose or to direct the disposition of: | ||
See Row 7 of cover page for the Reporting Person | |||
(iv) | Shared power to dispose or to direct the disposition of: | ||
See Row 8 of cover page for the Reporting Person | |||
Item 5. | Ownership of Five Percent or Less of a Class | ||
Not applicable | |||
Item 6. | Ownership of More than Five Percent on Behalf of Another Person | ||
Not applicable | |||
Item 7. | Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on By the Parent Holding Company | ||
Not applicable | |||
Item 8. | Identification and Classification of Members of the Group | ||
Not applicable | |||
Item 9. | Notice of Dissolution of Group | ||
Not applicable | |||
Item 10. | Certification | ||
Not applicable |
CUSIP No. 39304D 102 | Page 5 of 5 Pages |
Dated: | February 13, 2020 | /s/ Steven W. Streit | ||
Name: | Steven W. Streit |