SEC Form 4 · accession 0001104659-17-014505
CPI Card Group Inc. · PMTS
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Diane Fulton
Director
Period of report
Mar 2, 2017
Accepted (ET)
Mar 6, 2017 · 9:13 pm EST
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 StockF1 | Mar 2, 2017 | M | 2,634 | — | A | 2,634 | D | |
| Common StockF2 | holding | — | — | — | 8,000 | I | See footnote |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Restricted Stock UnitsF1,F3 | — | Mar 2, 2017 | M | 2,634 | D | — | — | Common Stock | 2,634 | 8,808 | D |
Explanation of responses
- F1Each Restricted Stock Unit represents the right to receive one CPI Card Group Inc. common share upon vesting of such Restricted Stock Unit.
- F2Shares of common stock reported on this line are held by Mrs. Fulton's husband.
- F3On March 2, 2016, the reporting person was granted 2,634 Restricted Stock Units, vesting on the first anniversary of the grant date.