0001140361-21-032342.txt : 20210923
0001140361-21-032342.hdr.sgml : 20210923
20210923203043
ACCESSION NUMBER: 0001140361-21-032342
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210921
FILED AS OF DATE: 20210923
DATE AS OF CHANGE: 20210923
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Dubin Lane
CENTRAL INDEX KEY: 0001683495
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37584
FILM NUMBER: 211273732
MAIL ADDRESS:
STREET 1: C/O CPI CARD GROUP INC.
STREET 2: 10368 WEST CENTENNIAL RD.
CITY: LITTLETON
STATE: IL
ZIP: 80127
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: CPI Card Group Inc.
CENTRAL INDEX KEY: 0001641614
STANDARD INDUSTRIAL CLASSIFICATION: SHORT-TERM BUSINESS CREDIT INSTITUTIONS [6153]
IRS NUMBER: 260344657
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 10368 WEST CENTENNIAL RD
CITY: LITTLETON
STATE: CO
ZIP: 80127
BUSINESS PHONE: 720-681-6304
MAIL ADDRESS:
STREET 1: 10368 WEST CENTENNIAL RD
CITY: LITTLETON
STATE: CO
ZIP: 80127
FORMER COMPANY:
FORMER CONFORMED NAME: CPI Holdings I, Inc.
DATE OF NAME CHANGE: 20150506
4
1
form4.xml
FORM 4
X0306
4
2021-09-21
0001641614
CPI Card Group Inc.
PMTS
0001683495
Dubin Lane
C/O CPI CARD GROUP INC.
10368 W. CENTENNIAL ROAD
LITTLETON
CO
80127
true
SVP & GM of Pers., Ppd. & Iss.
Restricted Stock Units
2021-09-21
4
A
0
5270
0
A
Common Stock
5270
5270
D
Stock Option (Right to Buy)
29.62
2021-09-21
4
A
0
8932
0
A
2028-09-21
Common Stock
8932
8932
D
Each restricted stock unit ("RSU") represents the right to receive one common share of Issuer upon vesting of such RSU.
50% of the RSUs reported on this line vest on the first anniversary of the September 21, 2021 award date and 50% vest on the second anniversary of the award date, subject to the reporting person's continued service through such date or as otherwise provided for in the applicable award agreement.
50% of the options reported on this line vest on the first anniversary of the September 21, 2021 award date and 50% vest on the second anniversary of the award date, subject to the reporting person's continued service through such date or as otherwise provided for in the applicable award agreement.
/s/ Sarah Kilgore, attorney-in-fact
2021-09-23