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