0001567619-20-006936.txt : 20200324
0001567619-20-006936.hdr.sgml : 20200324
20200324111504
ACCESSION NUMBER: 0001567619-20-006936
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20200322
FILED AS OF DATE: 20200324
DATE AS OF CHANGE: 20200324
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: O'Brien Kevin Patrick
CENTRAL INDEX KEY: 0001735272
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37584
FILM NUMBER: 20737249
MAIL ADDRESS:
STREET 1: C/O CPI CARD GROUP INC.
STREET 2: 10026 W. SAN JUAN WAY, SUITE 200
CITY: LITTLETON
STATE: CO
ZIP: 80127
FORMER NAME:
FORMER CONFORMED NAME: OBrien Kevin Patrick
DATE OF NAME CHANGE: 20180322
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: 10026 WEST SAN JUAN WAY
CITY: LITTLETON
STATE: CO
ZIP: 80127
BUSINESS PHONE: 720-681-6304
MAIL ADDRESS:
STREET 1: 10026 WEST SAN JUAN WAY
CITY: LITTLETON
STATE: CO
ZIP: 80127
FORMER COMPANY:
FORMER CONFORMED NAME: CPI Holdings I, Inc.
DATE OF NAME CHANGE: 20150506
4
1
doc1.xml
FORM 4
X0306
4
2020-03-22
0
0001641614
CPI Card Group Inc.
PMTS
0001735272
O'Brien Kevin Patrick
C/O CPI CARD GROUP INC.
10026 WEST SAN JUAN WAY, SUITE 200
LITTLETON
CO
80127
0
1
0
0
Chief Accounting Officer
Common Stock
2020-03-22
4
M
0
4464
0
A
4464
D
Common Stock
2020-03-22
4
D
0
4464
0.50
D
0
D
Common Stock
2020-03-22
4
M
0
203
A
203
D
Common Stock
2020-03-22
4
F
0
3
0.605
D
200
D
Cash Performance Units
2020-03-22
4
M
0
4464
0
D
Common Stock
4464
0
D
Restricted Stock Units
2020-03-22
4
M
0
203
0
D
Common Stock
203
0
D
The disposition to the Issuer reflects the settlement of approximately 1/3 of the performance units in cash.
Each restricted stock unit ("RSU") represents the right to receive one common share of Issuer upon vesting of such RSU.
Shares withheld by Issuer to satisfy the mandatory tax withholding requirement upon vesting of restricted stock. Not an open market sale of securities.
Each performance unit vested on March 22, 2020 and entitled the reporting person to receive a cash payment equal to the target value of $1 per unit, subject to adjustment based on the Issuer's stock price performance.
On March 22, 2017, the reporting person was granted 203 RSUs (taking into effect 1-for-5 reverse stock split which was effected on 12/20/2017), vesting on the third anniversary of award date.
All shares of Common Stock reflected herein give effect to 1-for-5 reverse stock split effectuated on 12/20/2017.
/s/ Sarah Kilgore as attorney-in-fact for Kevin Patrick O'Brien
2020-03-23