0001062993-24-011928.txt : 20240604
0001062993-24-011928.hdr.sgml : 20240604
20240604200850
ACCESSION NUMBER: 0001062993-24-011928
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20240531
FILED AS OF DATE: 20240604
DATE AS OF CHANGE: 20240604
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Mallela Ravi
CENTRAL INDEX KEY: 0001751947
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37584
FILM NUMBER: 241020345
MAIL ADDRESS:
STREET 1: C/O NMI HOLDINGS, INC. (NATIONAL MI)
STREET 2: 2100 POWELL ST., 12TH FLOOR
CITY: EMERYVILLE
STATE: CA
ZIP: 94608
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: CPI Card Group Inc.
CENTRAL INDEX KEY: 0001641614
STANDARD INDUSTRIAL CLASSIFICATION: COMMERCIAL PRINTING [2750]
ORGANIZATION NAME: 04 Manufacturing
IRS NUMBER: 260344657
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 10368 WEST CENTENNIAL RD
CITY: LITTLETON
STATE: CO
ZIP: 80127
BUSINESS PHONE: 720-681-6304
MAIL ADDRESS:
STREET 1: 10368 WEST CENTENNIAL RD
CITY: LITTLETON
STATE: CO
ZIP: 80127
FORMER COMPANY:
FORMER CONFORMED NAME: CPI Holdings I, Inc.
DATE OF NAME CHANGE: 20150506
4
1
form4.xml
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
X0508
4
2024-05-31
0001641614
CPI Card Group Inc.
PMTS
0001751947
Mallela Ravi
C/O CPI CARD GROUP INC.
10368 WEST CENTENNIAL ROAD
LITTLETON
CO
80127
1
0
0
0
0
Restricted Stock Units
2024-05-31
4
A
0
1067
0
A
Common Stock
1067
1067
D
This line represents deferred RSUs. The shares of Common Stock underlying these RSUs will be issued to the Reporting Person following the Reporting Person's separation from service with the Issuer.
Each restricted stock unit ("RSU") represents the right to receive one common share of the Issuer upon vesting of such RSU.
The 1,067 RSUs reported on this line vest on the first anniversary of the May 31, 2024 award date, subject to the reporting person's continued service through such date or as otherwise provided for in the applicable award agreement.
Jessica Browne, attorney-in-fact
2024-06-04