0001209191-22-018977.txt : 20220315
0001209191-22-018977.hdr.sgml : 20220315
20220315191321
ACCESSION NUMBER: 0001209191-22-018977
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220311
FILED AS OF DATE: 20220315
DATE AS OF CHANGE: 20220315
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: 22742785
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: 114 W 7TH STREET SUITE 240
CITY: AUSTIN
STATE: TX
ZIP: 78701
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
2022-03-11
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
2022-03-11
4
F
0
637
25.08
D
85880
D
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 RSUs, based on a price of $25.08 per share, which represented the closing price of the issuer's Class A Common Stock on March 11, 2022, and does not represent a sale by the reporting person.
/s/ Kristen Juhan as attorney-in-fact for Jason Bibelheimer
2022-03-15