0001104659-16-148950.txt : 20161005 0001104659-16-148950.hdr.sgml : 20161005 20161005172606 ACCESSION NUMBER: 0001104659-16-148950 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161003 FILED AS OF DATE: 20161005 DATE AS OF CHANGE: 20161005 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: CPI Card Group Inc. CENTRAL INDEX KEY: 0001641614 STANDARD INDUSTRIAL CLASSIFICATION: SHORT-TERM BUSINESS CREDIT INSTITUTIONS [6153] IRS NUMBER: 260344657 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 10368 WEST CENTENNIAL ROAD CITY: LITTLETON STATE: CO ZIP: 80127 BUSINESS PHONE: 303-973-9311 MAIL ADDRESS: STREET 1: 10368 WEST CENTENNIAL ROAD CITY: LITTLETON STATE: CO ZIP: 80127 FORMER COMPANY: FORMER CONFORMED NAME: CPI Holdings I, Inc. DATE OF NAME CHANGE: 20150506 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Tavares Silvio CENTRAL INDEX KEY: 0001685787 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37584 FILM NUMBER: 161923377 MAIL ADDRESS: STREET 1: C/O CPI CARD GROUP INC. STREET 2: 10368 WEST CENTENNIAL RD. CITY: LITTLETON STATE: CO ZIP: 80127 4 1 a4.xml 4 X0306 4 2016-10-03 0 0001641614 CPI Card Group Inc. PMTS 0001685787 Tavares Silvio C/O CPI CARD GROUP INC. 10368 WEST CENTENNIAL ROAD LITTLETON CO 80127 1 0 0 0 Restricted Stock Units 2016-10-03 4 A 0 6209 0 A Common Stock 6209 6209 D Each restricted stock unit represents the right to receive one CPI Card Group Inc. common share upon vesting of such restricted stock unit. The restricted stock units vest fully on the first anniversary of the October 3, 2016 award date. /s/Lisa Jacoba, by Power of Attorney 2016-10-05