SEC Form 4 · accession 0001104659-17-019156
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 22, 2017
Accepted (ET)
Mar 24, 2017 · 4:05 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 | $4.35 | Mar 22, 2017 | A | 33,014 | A | — | Mar 22, 2027 | Common Stock | 33,014 | 33,014 | D |
| Restricted Stock UnitsF2,F3 | — | Mar 22, 2017 | A | 5,085 | A | — | — | Common Stock | 5,085 | 5,085 | D |
| Cash Performance UnitsF4 | — | Mar 22, 2017 | A | 67,037 | A | — | Mar 22, 2020 | Common Stock | 67,037 | 67,037 | D |
Explanation of responses
- F1One-third (1/3) of the original options awarded will vest on each of the first, second and third anniversaries of the March 22, 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 March 22, 2017 award date.
- F4The cash performance units are performance-based awards that will settle in cash, in an amount between 50% and 200% of the target award value, based on the performance of the Company's stock price during each of three performance sub-periods (from the grant date through each of the first, second and third anniversaries of the grant date).