0001104659-18-020189.txt : 20180326 0001104659-18-020189.hdr.sgml : 20180326 20180326194724 ACCESSION NUMBER: 0001104659-18-020189 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180322 FILED AS OF DATE: 20180326 DATE AS OF CHANGE: 20180326 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Jacoba Lisa CENTRAL INDEX KEY: 0001654465 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37584 FILM NUMBER: 18713887 MAIL ADDRESS: STREET 1: 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 2018-03-22 0 0001641614 CPI Card Group Inc. PMTS 0001654465 Jacoba Lisa C/O CPI CARD GROUP INC. 10026 WEST SAN JUAN WAY LITTLETON CO 80127 0 1 0 0 Chief Human Resources Officer Common Stock 2018-03-22 4 M 0 22390 0 A 39674 D Common Stock 2018-03-22 4 D 0 22390 0.50 D 17284 D Cash Performance Units 2018-03-22 4 M 0 22390 0 D Common Stock 22390 44647 D This disposition to the issuer reflects the settlement of approximately 1/3 of the performance units in cash. Each performance unit vested on March 22, 2018 and entitled the reporting person to receive a cash payment equal to the target value of $1.00 per unit, subject to adjustment based on the issuer's stock price performance. Shares of Common Stock reflected in this Form 4 give effect to the one-for-five reverse stock split effected on December 20, 2017. /s/ Lisa Jacoba 2018-03-26