SEC Form 5 · accession 0001209191-15-023488
GREEN DOT CORP · GDOT
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Michael J Moritz
Director
Period of report
Dec 31, 2014
Accepted (ET)
Mar 6, 2015 · 4:05 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001386278
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Class A Common Stock | Feb 27, 2014 | G | 123,961 | $0.00 | D | 176,966 | D | |
| Class A Common Stock | Feb 27, 2014 | G | 123,961 | $0.00 | A | 123,961 | I | By Family Trust |
| Class A Common StockF2 | holding | — | — | — | 16,872 | I | By The Crankstart Foundation | |
| Class A Common StockF3 | holding | — | — | — | 627,246 | I | By Sequoia Capital Franchise Fund, L.P. | |
| Class A Common StockF3 | holding | — | — | — | 85,723 | I | By Sequoia Capital Franchise Partners, L.P. |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1This transaction involved a gift of securities by the reporting person to a family trust.
- F2Mr. Moritz may be deemed to beneficially own the shares held by The Crankstart Foundation. Mr. Moritz disclaims beneficial ownership of such securities except to the extent of his pecuniary interest therein, and the inclusion of these securities in this report shall not be deemed an admission of beneficial ownership of the reported securities for purposes of Section 16 or for any other purpose.
- F3Michael Moritz is a managing member of SCFF Management, LLC ("SCFF Management"). SCFF Management is the sole general partner of Sequoia Capital Franchise Fund, L.P. and Sequoia Capital Franchise Partners, L.P. By virtue of these relationships, Mr. Moritz may be deemed to share voting and dispositive power with respect to the shares held by Sequoia Capital Franchise Fund L.P. and Sequoia Capital Franchise Partners L.P. Mr. Moritz disclaims beneficial ownership of such securities except to the extent of his pecuniary interest therein, and the inclusion of these securities in this report shall not be deemed an admission of beneficial ownership of all of the reported securities for purposes of Section 16 or for any other purposes.