SEC Form 4 · accession 0001104659-15-070149
CPI Card Group Inc. · PMTS
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Anna Rossetti
Officer — President-CPI Canada
Period of report
Oct 8, 2015
Accepted (ET)
Oct 9, 2015 · 4:57 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001641614
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | holding | — | — | — | 66,000 | 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)F1 | $10.00 | Oct 8, 2015 | A | 14,000 | A | Oct 8, 2017 | Oct 8, 2025 | Common Stock | 14,000 | 14,000 | D |
Explanation of responses
- F1Date at which first vesting occurs is indicated. Subject to the insider's continued employment, approximately one third (1/3) of the original options granted will vest on each of the second, third and fourth anniversaries of the October 8, 2015 grant date.