SEC Form 4 · accession 0001104659-16-102756
CPI Card Group Inc. · PMTS
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
David Brush
Officer — Chief Financial Officer
Period of report
Mar 2, 2016
Accepted (ET)
Mar 4, 2016 · 9:13 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001641614
Table I — non-derivative securities
No Table I lines on this filing.
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 | Mar 2, 2016 | A | 67,000 | A | Oct 8, 2017 | Oct 8, 2025 | Common Stock | 67,000 | 162,000 | D |
| Restricted Stock UnitsF2,F3 | — | Mar 2, 2016 | A | 23,388 | A | — | — | Common Stock | 23,388 | 23,388 | 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 October 8, 2015.
- F2Each Restricted Stock Unit represents the right to receive one CPI Card Group Inc. common share upon vesting of such Restricted Stock Unit.
- F3The Restricted Stock Units vest on the first anniversary of the March 2, 2016 grant date.