SEC Form 4 · accession 0001209191-16-151754
GREEN DOT CORP · GDOT
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Konstantinos Sgoutas
Officer — Chief Revenue Officer
Period of report
Nov 18, 2016
Accepted (ET)
Nov 22, 2016 · 5:15 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 | Nov 18, 2016 | M | 101,562 | $0.00 | A | 159,911 | D | |
| Class A Common StockF1 | Nov 18, 2016 | S | 101,562 | $24.21 | D | 58,349 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Option (right to buy Class A Common Stock) | $12.75 | Nov 18, 2016 | M | 32,813 | D | Aug 3, 2016 | Oct 1, 2022 | Class A Common Stock | 32,813 | 0 | D |
| Stock Option (right to buy Class A Common Stock)F2 | $16.13 | Nov 18, 2016 | M | 1,562 | D | — | Apr 8, 2023 | Class A Common Stock | 1,562 | 2,605 | D |
| Stock Option (right to buy Class A Common Stock)F3 | $16.34 | Nov 18, 2016 | M | 67,187 | D | — | Apr 3, 2023 | Class A Common Stock | 67,187 | 7,813 | D |
Explanation of responses
- F1The price in column 4 is the weighted average price. The shares were purchased in multiple transactions at prices ranging from $24.14 to $24.34. The reporting person will provide to the issuer, any security holder of the issuer, or the SEC staff, upon request, complete information regarding the number of shares purchased at each separate price within the range.
- F2Options vest as to 1/4 of the shares on April 8, 2014 and then 1/48th monthly thereafter, subject to the reporting person's provision of service to the issuer on each vesting date.
- F3Options vest as to 1/4 of the shares on August 3, 2014 and then 1/48th monthly thereafter, subject to the reporting person's provision of service to the issuer on each vesting date.