0001209191-11-058979.txt : 20111202 0001209191-11-058979.hdr.sgml : 20111202 20111202123728 ACCESSION NUMBER: 0001209191-11-058979 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20111129 FILED AS OF DATE: 20111202 DATE AS OF CHANGE: 20111202 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Greenleaf Timothy R CENTRAL INDEX KEY: 0001493150 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34819 FILM NUMBER: 111239449 MAIL ADDRESS: STREET 1: 605 E. HUNTINGTON DRIVE, SUITE 205 CITY: MONROVIA STATE: CA ZIP: 91016 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: GREEN DOT CORP CENTRAL INDEX KEY: 0001386278 STANDARD INDUSTRIAL CLASSIFICATION: FINANCE SERVICES [6199] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE BUSINESS ADDRESS: STREET 1: 605 E HUNTINGTON DRIVE STREET 2: SUITE 205 CITY: MONROVIA STATE: CA ZIP: 91016 BUSINESS PHONE: 6267753400 MAIL ADDRESS: STREET 1: 605 E HUNTINGTON DRIVE STREET 2: SUITE 205 CITY: MONROVIA STATE: CA ZIP: 91016 4 1 doc4.xml FORM 4 SUBMISSION X0304 4 2011-11-29 0 0001386278 GREEN DOT CORP GDOT 0001493150 Greenleaf Timothy R 605 E. HUNTINGTON DRIVE, SUITE 205 MONROVIA CA 91016 1 0 0 0 Class A Common Stock 2011-11-29 4 S 0 25000 31.968 D 25000 I By Greenleaf Family Trust Dated May 16, 1999 Class A Common Stock 2011-11-30 4 S 0 24637 32.9338 D 363 I By Greenleaf Family Trust Dated May 16, 1999 Class A Common Stock 2011-11-30 4 S 0 363 33.51 D 0 I By Greenleaf Family Trust Dated May 16, 1999 Class A Common Stock 837 D Class B Common Stock 0.00 2011-11-29 4 C 0 50000 0.00 D Class A Common Stock 50000 419954 I By Greenleaf Family Trust Dated May 16, 1999 Class B Common Stock 0.00 Class A Common Stock 5320 5320 D The price in column 4 is the weighted average price. The shares were sold in mutliple transactions at prices ranging from $31.8100 to $32.1900. The reporting person will provide to the issuer, any security holder of the issuer, or the SEC staff, upon request, complete information regarding the number of shares sold at each separate price within the range. The price in column 4 is the weighted average price. The shares were sold in mutliple transactions at prices ranging from $32.4750 to $33.4700. The reporting person will provide to the issuer, any security holder of the issuer, or the SEC staff, upon request, complete information regarding the number of shares sold at each separate price within the range. The price in column 4 is the weighted average price. The shares were sold in mutliple transactions at prices ranging from $33.4900 to $33.5300. The reporting person will provide to the issuer, any security holder of the issuer, or the SEC staff, upon request, complete information regarding the number of shares sold at each separate price within the range. Represents shares of Class A common stock underlying a restricted stock unit award that vests as to all such shares at the 2012 annual stockholders meeting. The Class B Common Stock is convertible at the holder's option into the issuer's Class A Common Stock on a 1-for-1 basis and has no expiration date. The holder elected to convert the shares of Class B Common Stock into Class A Common Stock, which Class A Common Stock has no exercisable date or expiration date. The reporting person is the trustee of the trust and disclaims beneficial ownership of these securities except to the extent of the reporting person's pecuniary interest therein, and the inclusion of these securities in this report shall not be deemed an admission of beneficial ownership of all of the reported securities for purposes of Section 16 or for any other purposes. /s/ Lina Davidian as attorney-in-fact for Timothy R. Greenleaf 2011-12-01