0001209191-12-052265.txt : 20121108
0001209191-12-052265.hdr.sgml : 20121108
20121108141711
ACCESSION NUMBER: 0001209191-12-052265
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20121106
FILED AS OF DATE: 20121108
DATE AS OF CHANGE: 20121108
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Kendell Ross E
CENTRAL INDEX KEY: 0001522496
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-34819
FILM NUMBER: 121189555
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: 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
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2012-11-06
0
0001386278
GREEN DOT CORP
GDOT
0001522496
Kendell Ross E
3465 EAST FOOTHILL BOULEVARD
PASADENA
CA
91107
1
0
0
0
Class A Common Stock
2012-11-06
4
P
0
1500
10.95
A
2885
D
Includes shares of Class A Common Stock underlying a restricted stock unit award that will vest as to all underlying shares on the date of the 2013 annual stockholders meeting.
/s/ Lina Davidian as attorney-in-fact for Ross E. Kendell
2012-11-08