0001209191-12-016303.txt : 20120306 0001209191-12-016303.hdr.sgml : 20120306 20120306201727 ACCESSION NUMBER: 0001209191-12-016303 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120302 FILED AS OF DATE: 20120306 DATE AS OF CHANGE: 20120306 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Sgoutas Konstantinos CENTRAL INDEX KEY: 0001539913 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34819 FILM NUMBER: 12672231 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 FISCAL YEAR END: 1231 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 2012-03-02 0 0001386278 GREEN DOT CORP GDOT 0001539913 Sgoutas Konstantinos 605 E. HUNTINGTON DR., SUITE 205 MONROVIA CA 91016 0 1 0 0 Chief Revenue Officer Class A Common Stock 2012-03-05 4 C 0 2000 0.00 A 13907 D Class A Common Stock 2012-03-05 4 S 0 2000 32.143 D 11907 D Stock Option (right to buy Class A Common Stock) 32.36 2012-03-02 4 A 0 45000 0.00 A 2022-03-02 Class A Common Stock 45000 45000 D Stock Option (right to buy Class B Common Stock) 20.01 2012-03-05 4 M 0 2000 0.00 D 2019-11-12 Class B Common Stock 2000 9455 D Class B Common Stock 0.00 2012-03-05 4 M 0 2000 0.00 A Class A Common Stock 2000 2000 D Class B Common Stock 0.00 2012-03-05 4 C 0 2000 0.00 D Class A Common Stock 2000 0 D Includes shares of Class A Common Stock underlying a restricted stock unit award that vests as to 25% of the shares at each anniversary of the vesting commencement date, subject to the reporting person's provision of services to the issuer on each vesting date. The sales reported on this Form 4 were effected pursuant to s Rule 10b5-1 trading plan adopted by the reporting person on November 29, 2011. Options vest as to 1/4 of the shares on March 2, 2013 and then 1/48th monthly thereafter, subject to the reporting person's provision of service to the issuer on each vesting date. Options vest as to 1/4 of the shares on November 12, 2010 and then 1/48th monthly thereafter, subject to the reporting person's provision of services to the issuer on each vesting date. 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. /s/ Lina Davidian as attorney-in-fact for Konstaninos Sgoutas 2012-03-06