SEC Form 4 · accession 0001104659-16-143220
CPI Card Group Inc. · PMTS
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Lane Dubin
Officer — Senior V.P., Sales & Marketing
Period of report
Sep 1, 2016
Accepted (ET)
Sep 6, 2016 · 4:11 pm EDT
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 | $5.52 | Sep 1, 2016 | A | 112,500 | A | — | Sep 1, 2026 | Common Stock | 112,500 | 112,500 | D |
| Restricted Stock UnitsF2,F3 | — | Sep 1, 2016 | A | 18,562 | A | — | — | Common Stock | 18,562 | 18,562 | D |
Explanation of responses
- F1The stock options vest in four equal installments on the first, second, third and fourth anniversaries of the September 1, 2016 award date.
- 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 in four equal installments on the first, second, third and fourth anniversaries of the September 1, 2016 award date.