-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, Mv7VEzkXZ5UrM253WiVAruOgA6P0la4urRxetSXDSU1/D9ZumR8HQe0g9zSpO2yO 235LWjf5+e3qVSb6iF+WUA== 0001209191-10-040187.txt : 20100729 0001209191-10-040187.hdr.sgml : 20100729 20100729203637 ACCESSION NUMBER: 0001209191-10-040187 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20100727 FILED AS OF DATE: 20100729 DATE AS OF CHANGE: 20100729 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Troughton Mark T CENTRAL INDEX KEY: 0001494393 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34819 FILM NUMBER: 10979263 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 X0303 4 2010-07-27 0 0001386278 GREEN DOT CORP GDOT 0001494393 Troughton Mark T 605 E. HUNTINGTON DRIVE, SUITE 205 MONROVIA CA 91016 0 1 1 0 President, Cards and Network Class A Common Stock 2010-07-27 4 C 0 110000 0.00 A 110000 D Class A Common Stock 2010-07-27 4 S 0 110000 33.48 D 0 D Class A Common Stock 2010-07-27 4 P 0 1250 36.00 A 1250 I By wife Class A Common Stock 0 I By Mark Troughton GRAT Class A Common Stock 0 I By Tara McWhiter GRAT Stock Option (right to buy Class B Common Stock) 1.41 2010-07-27 4 M 0 110000 0.00 D 2010-01-19 2016-01-19 Class B Common Stock 110000 43125 D Class B Common Stock 0.00 2010-07-27 4 M 0 110000 0.00 A Class A Common Stock 110000 608241 D Class B Common Stock 0.00 2010-07-27 4 C 0 110000 0.00 D Class A Common Stock 110000 498241 D Class B Common Stock 0.00 Class A Common Stock 125000 125000 I By Mark Troughton GRAT Class B Common Stock 0.00 Class A Common Stock 125000 125000 I By Tara McWhiter GRAT 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 Mark Troughton GRAT. The reporting person's spouse is the trustee of the Tara McWhirter GRAT. /s/ Lina Davidian as attorney-in-fact for Mark T. Troughton 2010-07-29 -----END PRIVACY-ENHANCED MESSAGE-----