SEC Form 4 · accession 0001567619-18-002132
CPI Card Group Inc. · PMTS
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Lane Dubin
Officer — SVP/GM Prepd-Instant Issuance
Period of report
Sep 1, 2018
Accepted (ET)
Sep 5, 2018 · 3:29 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 | Sep 1, 2018 | M | 928 | — | A | 1,563 | D | |
| Common Stock | Sep 1, 2018 | F | 265 | $3.16 | D | 1,298 | 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,F3 | — | Sep 1, 2018 | M | 928 | A | — | — | Common Stock | 928 | 1,856 | D |
Explanation of responses
- F1Each restricted stock unit ("RSU") represents the right to receive one common share of Issuer upon vesting of such RSU.
- F2Shares withheld by Issuer to satisfy the mandatory tax withholding requirement upon vesting of restricted stock. Not an open market sale of securities.
- F3On 9/1/2016, the reporting person was granted 3,712 RSUs (taking into effect 1-for-5 reverse stock split which was effected on 12/20/2017), vesting in four equal installments on the first, second, third and fourth anniversaries of award date. The RSUs remaining to vest from this grant is reflected in Column 9.