-----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, B6Tww3zWHJZRsGvBvz/UfrnORnMMjw/dTUayeVAe06DxbrXYGWHpuJFAMblvqQ7V ojK5W2/c8ztkiF3pjlSB1g== 0001209191-10-060406.txt : 20101214 0001209191-10-060406.hdr.sgml : 20101214 20101214192251 ACCESSION NUMBER: 0001209191-10-060406 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20101213 FILED AS OF DATE: 20101214 DATE AS OF CHANGE: 20101214 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Hanna Virginia L CENTRAL INDEX KEY: 0001493154 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34819 FILM NUMBER: 101251824 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 2010-12-13 0 0001386278 GREEN DOT CORP GDOT 0001493154 Hanna Virginia L 8105 IRVINE CENTER DRIVE, SUITE 1170 IRVINE CA 92618 1 0 0 0 Class A Common Stock 2010-12-13 4 C 0 727150 0.00 A 727150 I By David W. Hanna, Trustee, David William Hanna Trust dated October 30, 1989 Class A Common Stock 2010-12-13 4 S 0 727150 58.56 D 0 I By David W. Hanna, Trustee, David William Hanna Trust dated October 30, 1989 Class A Common Stock 2010-12-13 4 C 0 33769 0.00 A 33769 I By Tim J. Morgan, Trustee of David W. Hanna Children's Trust dated 6/5/08 Class A Common Stock 2010-12-13 4 S 0 33769 58.56 D 0 I By Tim J. Morgan, Trustee of David W. Hanna Children's Trust dated 6/5/08 Class A Common Stock 2010-12-13 4 C 0 36219 0.00 A 36219 I By Virginia L. Hanna Trust dated August 16, 2001 Class A Common Stock 2010-12-13 4 S 0 36219 58.56 D 0 I By Virginia L. Hanna Trust dated August 16, 2001 Class B Common Stock 0.00 2010-12-13 4 C 0 727150 0.00 D Class A Common Stock 727150 344288 I By David W. Hanna, Trustee, David William Hanna Trust dated October 30, 1989 Class B Common Stock 0.00 2010-12-13 4 C 0 33769 0.00 D Class A Common Stock 33769 3383 I By Tim J. Morgan, Trustee of David W. Hanna Children's Trust dated 6/5/08 Class B Common Stock 0.00 2010-12-13 4 C 0 36219 0.00 D Class A Common Stock 36219 31981 I By Virginia L. Hanna Trust dated August 16, 2001 The trustee of the trust is the husband of the reporting person. The reporting person disclaims beneficial ownership of these securities except to the extent of the reporting person's economic interest therein, and the inclusion of the securities in this report shall not be deemed an admission of beneficial ownership of any of the reported securities for purposes of Section 16 or for any other purposes. The reporting person disclaims beneficial ownership of these securities, and this report shall not be deemed an admission that the reporting person is the beneficial owner of such securities for purposes of Section 16 or for any other purpose. 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. On September 10, 2010, Tim J. Morgan, Trustee of Hanna Annuity Trust dated 6/5/2008 (the "Annuity Trust"), distributed all shares of Class B Common stock held by the Annuity Trust, of which 41,483 shares were distibuted to David W. Hanna, Trustee, David William Hanna Trust dated October 30, 1989. On September 10, 2010, Tim J. Morgan, Trustee of Hanna Annuity Trust dated 6/5/2008 (the "Annuity Trust"), distributed all shares of Class B Common Stock held by the Annuity Trust, of which 37,152 shares were distibuted to Tim J. Morgan, Trustee of David W. Hanna Children's Trust dated 6/5/08, of which 33,769 of such shares were sold on December 13, 2010. /s/ Lina Davidian as attorney-in-fact for Virginia L. Hanna 2010-12-14 -----END PRIVACY-ENHANCED MESSAGE-----