0001104659-17-000948.txt : 20170105 0001104659-17-000948.hdr.sgml : 20170105 20170105163941 ACCESSION NUMBER: 0001104659-17-000948 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170103 FILED AS OF DATE: 20170105 DATE AS OF CHANGE: 20170105 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: Bakke Chris CENTRAL INDEX KEY: 0001660668 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37584 FILM NUMBER: 17511271 MAIL ADDRESS: STREET 1: 10368 WEST CENTENNIAL RD. STREET 2: C/O CPI CARD GROUP INC. CITY: LITTLETON STATE: CO ZIP: 80127 4 1 a4.xml 4 X0306 4 2017-01-03 0 0001641614 CPI Card Group Inc. PMTS 0001660668 Bakke Chris C/O CPI CARD GROUP INC. 10026 W. SAN JUAN WAY, SUITE 200 LITTLETON CO 80127 0 1 0 0 Chief Accounting Officer Stock Option (Right to Buy) 4.20 2017-01-03 4 A 0 40698 0 A 2018-01-03 2027-01-03 Common Stock 40698 40698 D The stock options vest on the first anniversary of the January 3, 2017 award date. /s/ Lisa Jacoba, by Power of Attorney 2017-01-05