SEC Form 4 · accession 0001104659-17-037712
CPI Card Group Inc. · PMTS
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Diane Fulton
Director
Period of report
Jun 2, 2017
Accepted (ET)
Jun 6, 2017 · 4:35 pm EDT
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 | Jun 2, 2017 | M | 11,442 | — | A | 14,076 | 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 UnitsF4,F1,F3 | — | Jun 2, 2017 | M | 11,442 | D | — | — | Common Stock | 11,442 | 25,000 | 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 June 2, 2016, the reporting person was granted 11,442 restricted stock units, vesting on the first anniversary of the grant date.
- F4Total includes additional restricted stock unit awards that have different vesting an expiration dates.