SEC Form 4 · accession 0001104659-17-014510
CPI Card Group Inc. · PMTS
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Lisa Jacoba
Officer — Chief Human Resources Officer
Period of report
Mar 2, 2017
Accepted (ET)
Mar 6, 2017 · 9:17 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 | 12,642 | — | A | 47,661 | D | |
| Common Stock | Mar 2, 2017 | F | 4,713 | $4.70 | D | 42,948 | D |
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,F2 | — | Mar 2, 2017 | M | 12,642 | D | — | — | Common Stock | 12,642 | 0 | 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.
- F2On March 2, 2016, the reporting person was granted 12,642 Restricted Stock Units, vesting on the first anniversary of the grant date.