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