0001140361-18-026290.txt : 20180530
0001140361-18-026290.hdr.sgml : 20180530
20180530170924
ACCESSION NUMBER: 0001140361-18-026290
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20180525
FILED AS OF DATE: 20180530
DATE AS OF CHANGE: 20180530
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Fulton Diane
CENTRAL INDEX KEY: 0001660117
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37584
FILM NUMBER: 18868989
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
doc1.xml
FORM 4
X0306
4
2018-05-25
0
0001641614
CPI Card Group Inc.
PMTS
0001660117
Fulton Diane
C/O CPI CARD GROUP INC.
10026 WEST SAN JUAN WAY
LITTLETON
CO
80127
1
0
0
0
Common Stock
2018-05-25
4
M
0
5000
0
A
7815
D
Common Stock
1600
I
By Spouse
Restricted Stock Units
0
2018-05-25
4
M
0
5000
0
D
Common Stock
5000
0
D
Vesting of restricted stock units ("RSUs") granted to the Reporting Person on May 25, 2017.
Number of securities represented takes into effect 1-for-5 reverse stock split which was effected on December 20, 2017.
Each RSU represents a contingent right to receive one share of the Issuer's common stock.
100% of the RSUs vested on May 25, 2018, subject to the continuing employment of the Reporting Person on such vesting date. Shares of the Issuer's common stock will be delivered to the Reporting Person upon vesting.
/s/ Lisa Jacoba, attorney-in-fact
2018-05-30