0001104659-17-036159.txt : 20170530 0001104659-17-036159.hdr.sgml : 20170529 20170530161018 ACCESSION NUMBER: 0001104659-17-036159 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170525 FILED AS OF DATE: 20170530 DATE AS OF CHANGE: 20170530 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: 10026 WEST SAN JUAN WAY CITY: LITTLETON STATE: CO ZIP: 80127 BUSINESS PHONE: 303-973-9311 MAIL ADDRESS: STREET 1: 10026 WEST SAN JUAN WAY 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: 17877503 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 2017-05-25 0 0001641614 CPI Card Group Inc. PMTS 0001685787 Tavares Silvio C/O CPI CARD GROUP INC. 10026 WEST SAN JUAN WAY LITTLETON CO 80127 1 0 0 0 Restricted Stock Units 2017-05-25 4 A 0 25000 0 A Common Stock 25000 31209 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 25,000 restricted stock units reported on this line vest on the first anniversary of the May 25, 2017 award date. Total includes prior restricted stock unit awards that have different vesting and expiration dates. /s/Lisa Jacoba, by Power of Attorney 2017-05-30