0001209191-13-041799.txt : 20130822
0001209191-13-041799.hdr.sgml : 20130822
20130822183819
ACCESSION NUMBER: 0001209191-13-041799
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20130712
FILED AS OF DATE: 20130822
DATE AS OF CHANGE: 20130822
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
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 3465 E. FOOTHILL BLVD
CITY: PASADENA
STATE: CA
ZIP: 91107
BUSINESS PHONE: 6267652000
MAIL ADDRESS:
STREET 1: 3465 E. FOOTHILL BLVD
CITY: PASADENA
STATE: CA
ZIP: 91107
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Keatley John L
CENTRAL INDEX KEY: 0001494442
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-34819
FILM NUMBER: 131056057
MAIL ADDRESS:
STREET 1: 605 E. HUNTINGTON DRIVE, SUITE 205
CITY: MONROVIA
STATE: CA
ZIP: 91016
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2013-07-12
0
0001386278
GREEN DOT CORP
GDOT
0001494442
Keatley John L
3465 EAST FOOTHILL BOULEVARD
PASADENA
CA
91107
0
1
0
0
Chief Financial Officer
Class A Common Stock
2013-07-12
4
C
0
34538
0.00
A
97931
D
Class A Common Stock
6600
I
By minor children
Class B Common Stock
0.00
2013-07-12
4
C
0
34538
0.00
D
Class A Common Stock
34538
0
D
Represents the number of shares that were acquired upon conversion of Class B Common Stock to Class A Common Stock at the election of the holder.
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.
/s/ Lina Davidian as attorney-in-fact for John L. Keatley
2013-08-22