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GREEN DOT CORP Director's Dealing 2011

Dec 12, 2011

32420_dirs_2011-12-12_95f3214a-91ce-4e00-a534-4e4dd9661b19.zip

Director's Dealing

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SEC Form 4 — Statement of Changes in Beneficial Ownership

Issuer: GREEN DOT CORP (GDOT)
CIK: 0001386278
Period of Report: 2011-12-08

Reporting Person: MORITZ MICHAEL J (Director)

Non-Derivative Transactions

Date Security Code Shares Price A/D Holdings After Ownership
2011-12-08 Class A Common Stock C 2488099 $0.00 Acquired 2488099 Indirect
2011-12-08 Class A Common Stock C 382073 $0.00 Acquired 382073 Indirect
2011-12-08 Class A Common Stock C 16872 $0.00 Acquired 16872 Indirect
2011-12-08 Class A Common Stock C 339650 $0.00 Acquired 339650 Indirect

Derivative Transactions

Date Security Exercise Price Code Shares A/D Expiration Underlying Ownership
2011-12-08 Class B Common Stock $ J 5290000 Disposed Class A Common Stock (5290000) Indirect
2011-12-08 Series A Convertible Junior Participating Preferred Stock $ J 5290 Acquired Class A Common Stock (5290000) Indirect
2011-12-08 Class B Common Stock $ C 2488099 Disposed Class A Common Stock (2488099) Indirect
2011-12-08 Class B Common Stock $ J 813000 Disposed Class A Common Stock (813000) Indirect
2011-12-08 Series A Convertible Junior Participating Preferred Stock $ J 813 Acquired Class A Common Stock (813000) Indirect
2011-12-08 Class B Common Stock $ C 382073 Disposed Class A Common Stock (382073) Indirect
2011-12-08 Class B Common Stock $ J 35000 Disposed Class A Common Stock (35000) Indirect
2011-12-08 Series A Convertible Junior Participating Preferred Stock $ J 35 Acquired Class A Common Stock (35000) Indirect
2011-12-08 Class B Common Stock $ C 16872 Disposed Class A Common Stock (16872) Indirect
2011-12-08 Class B Common Stock $ J 721000 Disposed Class A Common Stock (721000) Indirect
2011-12-08 Series A Convertible Junior Participating Preferred Stock $ J 721 Acquired Class A Common Stock (721000) Indirect
2011-12-08 Class B Common Stock $ C 339650 Disposed Class A Common Stock (339650) Indirect

Holdings (Non-Derivative)

Security Shares Ownership
Class A Common Stock 18313 Direct

Footnotes

F1: Michael Moritz is a managing member of SCFF Management, LLC ("SCFF Management") and is a managing director of SCGF GenPar, Ltd. ("SCGF GenPar"). SCFF Management is the sole general partner of Sequoia Capital Franchise Fund L.P. and Sequoia Capital Franchise Partners L.P. SCGF GenPar is the sole general partner of SCGF IV Management, L.P., which is the sole general partner of Sequoia Capital US Growth Fund IV, L.P. and Sequoia Capital USGF Principals Fund IV, L.P. By virtue of these relationships, Mr. Moritz may be deemed to share voting and dispositive power with respect to the shares held by Sequoia Capital Franchise Fund L.P., Sequoia Capital Franchise Partners L.P., Sequoia Capital US Growth Fund IV, L.P. and Sequoia Capital USGF Principals Fund IV, L.P. [continued in footnote 2]

F2: Mr. Moritz disclaims beneficial ownership of such securities except to the extent of his pecuniary interest therein, and the inclusion of these securities in this report shall not be deemed an admission of beneficial ownership of the reported securities for purposes of Section 16 or for any other purposes.

F3: The Class B Common Stock is convertible into Class A Common Stock at any time on a 1-for-1 basis, and has no expiration date.

F4: On December 8, 2011, the issuer entered into a share exchange agreement with Sequoia Capital Franchise Fund, L.P., Sequoia Capital U.S. Growth Fund IV, L.P., Sequoia Capital USGF Principals Fund IV L.P. and Sequoia Capital Franchise Partners, L.P., pursuant to which these reporting persons agreed to exchange 5,290,000, 813,000, 35,000 and 721,000 shares of Class B Common Stock, respectively, for shares of the issuer's Series A Convertible Junior Participating Non-Cumulative Perpetual Preferred Stock (the "Series A Preferred Stock") on the basis of 1,000 shares of Class B Common Stock for each share of Series A Preferred Stock. With respect to the reporting person, the exchange of the Class B Common Stock is exempt from Section 16(b) of the Securities Exchange Act of 1934, as amended, pursuant to Rule 16b-3 thereunder.

F5: The Series A Preferred Stock is convertible into Class A Common Stock on the basis of 1,000 shares of Class A Common Stock for each share of Series A Preferred Stock, and may be converted only in connection with transfers to unaffiliated third parties of the reporting persons. The Series A Preferred Stock has no expiration date.