SEC Form 4 · accession 0001104659-17-061167
CPI Card Group Inc. · PMTS
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Silvio Tavares
Director
Period of report
Oct 3, 2017
Accepted (ET)
Oct 5, 2017 · 5:08 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 | Oct 3, 2017 | M | 6,209 | — | A | 31,209 | 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 UnitsF3,F1,F2 | — | Oct 3, 2017 | M | 6,209 | D | — | — | Common Stock | 6,209 | 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.
- F2On October 3, 2016, the reporting person was granted 6,209 restricted stock units, vesting on the first anniversary of the grant date.
- F3Total includes prior restricted stock unit awards that have different vesting and expiration dates.