SEC Form 4 · accession 0001140361-18-026290
CPI Card Group Inc. · PMTS
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Diane Fulton
Director
Period of report
May 25, 2018
Accepted (ET)
May 30, 2018 · 5:09 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 StockF2 | May 25, 2018 | M | 5,000 | $0.00 | A | 7,815 | D | |
| Common StockF2 | holding | — | — | — | 1,600 | I | By Spouse |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Restricted Stock UnitsF2,F3,F4 | $0.00 | May 25, 2018 | M | 5,000 | D | — | — | Common Stock | 5,000 | 0 | D |
Explanation of responses
- F1Vesting of restricted stock units ("RSUs") granted to the Reporting Person on May 25, 2017.
- F2Number of securities represented takes into effect 1-for-5 reverse stock split which was effected on December 20, 2017.
- F3Each RSU represents a contingent right to receive one share of the Issuer's common stock.
- F4100% of the RSUs vested on May 25, 2018, subject to the continuing employment of the Reporting Person on such vesting date. Shares of the Issuer's common stock will be delivered to the Reporting Person upon vesting.