0001104659-17-055796.txt : 20170906
0001104659-17-055796.hdr.sgml : 20170906
20170906160959
ACCESSION NUMBER: 0001104659-17-055796
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170901
FILED AS OF DATE: 20170906
DATE AS OF CHANGE: 20170906
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Dubin Lane
CENTRAL INDEX KEY: 0001683495
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37584
FILM NUMBER: 171071417
MAIL ADDRESS:
STREET 1: C/O CPI CARD GROUP INC.
STREET 2: 10368 WEST CENTENNIAL RD.
CITY: LITTLETON
STATE: IL
ZIP: 80127
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
4
1
a4.xml
4
X0306
4
2017-09-01
0
0001641614
CPI Card Group Inc.
PMTS
0001683495
Dubin Lane
C/O CPI CARD GROUP INC.
10026 WEST SAN JUAN WAY
LITTLETON
CO
80127
0
1
0
0
SVP, Sales & Marketing
Common Stock
2017-09-01
4
M
0
4641
A
4641
D
Common Stock
2017-09-01
4
F
0
1462
0.96
D
3179
D
Restricted Stock Units
2017-09-01
4
M
0
4641
0
D
Common Stock
4641
23073
D
Each restricted stock unit represents the right to receive one CPI Card Group Inc. common share upon vesting of such restricted stock unit.
Shares withheld by the issuer to satisfy the mandatory tax withholding requirement upon vesting of restricted stock. This is not an open market sale of securities.
On September 1, 2016, the reporting person was granted 18,562 restricted stock units, vesting in four equal installments on the first, second, third and fourth anniversaries of the award date.
Total includes additional restricted stock unit awards that have different vesting and expiration dates.
/s/Lisa Jacoba, by Power of Attorney
2017-09-06