SEC Form 4 · accession 0001104659-17-000951
CPI Card Group Inc. · PMTS
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Lillian Etzkorn
Officer — Chief Financial Officer
Period of report
Jan 3, 2017
Accepted (ET)
Jan 5, 2017 · 4:42 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 | $4.20 | Jan 3, 2017 | A | 241,380 | A | Jan 3, 2018 | Jan 3, 2027 | Common Stock | 241,380 | 241,380 | D |
| Restricted Stock UnitsF2,F3 | — | Jan 3, 2017 | A | 36,602 | A | — | — | Common Stock | 36,602 | 36,602 | D |
Explanation of responses
- F1Date at which first vesting occurs is indicated. One-third (1/3) of the original options awarded will vest on each of the first, second and third anniversaries of the January 3, 2017 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 on the third anniversary of the January 3, 2017 award date.