0001104659-17-061167.txt : 20171005
0001104659-17-061167.hdr.sgml : 20171005
20171005170813
ACCESSION NUMBER: 0001104659-17-061167
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20171003
FILED AS OF DATE: 20171005
DATE AS OF CHANGE: 20171005
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: 171125212
MAIL ADDRESS:
STREET 1: C/O CPI CARD GROUP INC.
STREET 2: 10368 WEST CENTENNIAL RD.
CITY: LITTLETON
STATE: CO
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
2017-10-03
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
Common Stock
2017-10-03
4
M
0
6209
A
31209
D
Restricted Stock Units
2017-10-03
4
M
0
6209
0
D
Common Stock
6209
25000
D
Each restricted stock unit represents the right to receive one CPI Card Group Inc. common share upon vesting of such restricted stock unit.
On October 3, 2016, the reporting person was granted 6,209 restricted stock units, vesting on the first anniversary of the grant date.
Total includes prior restricted stock unit awards that have different vesting and expiration dates.
/s/ Lisa Jacoba, by Power of Attorney
2017-10-05