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