SEC Form 4 · accession 0001209191-17-035982
GREEN DOT CORP · GDOT
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
John C Ricci
Officer — General Counsel and Secretary
Period of report
May 24, 2017
Accepted (ET)
May 26, 2017 · 5:56 pm EDT
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 | May 24, 2017 | M | 72,248 | $0.00 | A | 158,594 | D | |
| Class A Common StockF1 | May 24, 2017 | S | 72,248 | $36.212 | D | 86,346 | D | |
| Class A Common StockF2 | holding | — | — | — | 4,460 | I | By minor children |
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 | May 24, 2017 | M | 43,000 | D | Aug 3, 2016 | Oct 1, 2022 | Class A Common Stock | 43,000 | 0 | D |
| Stock Option (right to buy Class A Common Stock) | $16.34 | May 24, 2017 | M | 25,000 | D | Apr 3, 2017 | Apr 3, 2023 | Class A Common Stock | 25,000 | 0 | D |
| Stock Option (right to buy Class A Common Stock) | $20.01 | May 24, 2017 | M | 4,248 | D | Nov 12, 2013 | Nov 12, 2019 | Class A Common Stock | 4,248 | 0 | D |
Explanation of responses
- F1The price in column 4 is the weighted average price. The shares were sold in mutliple transactions at prices ranging from $36.15 to $36.61 per share. 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 sold at each separate price within the range.
- F2The reporting person disclaims beneficial ownership of these securities, and this report shall not be deemed an admission that the reporting person is the beneficial owner of such securities for purposes of Section 16 or for any other purpose.