0001140361-18-026292.txt : 20180530 0001140361-18-026292.hdr.sgml : 20180530 20180530171147 ACCESSION NUMBER: 0001140361-18-026292 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: Pearce Doug CENTRAL INDEX KEY: 0001664731 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37584 FILM NUMBER: 18869026 MAIL ADDRESS: STREET 1: 10368 WEST CENTENNIAL RD. STREET 2: C/O CPI CARD GROUP INC. 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 0001664731 Pearce Doug 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 9394 D 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