0001209191-21-009958.txt : 20210211 0001209191-21-009958.hdr.sgml : 20210211 20210211213247 ACCESSION NUMBER: 0001209191-21-009958 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210209 FILED AS OF DATE: 20210211 DATE AS OF CHANGE: 20210211 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Bibelheimer Jason CENTRAL INDEX KEY: 0001771636 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34819 FILM NUMBER: 21622248 MAIL ADDRESS: STREET 1: 3465 EAST FOOTHILL BOULEVARD CITY: PASADENA STATE: CA ZIP: 91107 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 2021-02-09 0 0001386278 GREEN DOT CORP GDOT 0001771636 Bibelheimer Jason 3465 EAST FOOTHILL BOULEVARD PASADENA CA 91107 0 1 0 0 Chief Human Resources Officer Class A Common Stock 2021-02-09 4 A 0 14146 0.00 A 92652 D Class A Common Stock 2021-02-09 4 F 0 1347 54.91 D 91305 D Represents shares of Class A Common Stock underlying a performance-based restricted stock unit award granted on March 11, 2020. 25% of the award vested on February 9, 2021 and the remaining 75% will vest ratably over the next three years on December 15, 2021, December 15, 2022, and December 15, 2023, subject to the reporting person's provision of service to the issuer on each vesting date. Represents shares of Class A Common Stock that have been withheld by the issuer to satisfy its income tax withholding and remittance obligations in connection with the net settlement of the PRSUs, based on a price of $54.91 per share, which represented the closing price of the issuer's Class A Common Stock on February 9, 2021, and does not represent a sale by the reporting person. /s/ Lina Davidian as attorney-in-fact for Jason Bibelheimer 2021-02-11