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GREEN DOT CORP — Director's Dealing 2013
Mar 7, 2013
32420_dirs_2013-03-07_eed606fe-fb70-4a6a-9ca5-8e1ed800924f.zip
Director's Dealing
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SEC Form 5/A — Form 5/A
Issuer: GREEN DOT CORP (GDOT)
CIK: 0001386278
Period of Report: 2012-12-31
Reporting Person: Streit Steven W (Director, Chairman, President and CEO, 10% Owner)
Non-Derivative Transactions
| Date | Security | Code | Shares | Price | A/D | Holdings After | Ownership |
|---|---|---|---|---|---|---|---|
| 2011-02-28 | Class A Common Stock | C | 210247 | $0.00 | Acquired | 210247 | Direct |
| 2011-02-28 | Class A Common Stock | G | 210247 | $0.00 | Disposed | 0 | Direct |
| 2011-03-08 | Class A Common Stock | C | 42627 | $0.00 | Acquired | 42627 | Direct |
| 2011-03-08 | Class A Common Stock | G | 42627 | $0.00 | Disposed | 0 | Direct |
| 2011-03-08 | Class A Common Stock | G | 42627 | $0.00 | Acquired | 252874 | Indirect |
| 2011-03-08 | Class A Common Stock | C | 2132 | $0.00 | Acquired | 2132 | Direct |
| 2011-03-08 | Class A Common Stock | G | 2132 | $0.00 | Disposed | 0 | Direct |
| 2011-03-08 | Class A Common Stock | G | 2132 | $0.00 | Acquired | 255006 | Indirect |
| 2012-02-09 | Class A Common Stock | C | 95560 | $0.00 | Acquired | 95560 | Direct |
| 2012-02-09 | Class A Common Stock | G | 95560 | $0.00 | Disposed | 0 | Direct |
| 2012-02-09 | Class A Common Stock | G | 95560 | $0.00 | Acquired | 350566 | Indirect |
| 2012-02-29 | Class A Common Stock | G | 95560 | $0.00 | Disposed | 255006 | Indirect |
| 2012-02-29 | Class A Common Stock | G | 95560 | $0.00 | Acquired | 95560 | Indirect |
| 2012-02-09 | Class A Common Stock | C | 4779 | $0.00 | Acquired | 4779 | Direct |
| 2012-02-09 | Class A Common Stock | G | 4779 | $0.00 | Disposed | 0 | Direct |
| 2012-02-09 | Class A Common Stock | G | 4779 | $0.00 | Acquired | 259785 | Indirect |
| 2012-02-29 | Class A Common Stock | G | 4779 | $0.00 | Disposed | 344006 | Indirect |
| 2012-02-29 | Class A Common Stock | G | 4779 | $0.00 | Acquired | 4779 | Indirect |
Derivative Transactions
| Date | Security | Exercise Price | Code | Shares | A/D | Expiration | Underlying | Ownership |
|---|---|---|---|---|---|---|---|---|
| 2011-02-28 | Class B Common Stock | $ | C | 210247 | Disposed | Class A Common Stock (210247) | Direct | |
| 2011-03-08 | Class B Common Stock | $ | C | 42627 | Disposed | Class A Common Stock (42627) | Indirect | |
| 2011-03-08 | Class B Common Stock | $ | C | 2132 | Disposed | Class A Common Stock (2132) | Direct | |
| 2012-02-09 | Class B Common Stock | $ | C | 95560 | Disposed | Class A Common Stock (95560) | Indirect | |
| 2012-02-09 | Class B Common Stock | $ | C | 4779 | Disposed | Class A Common Stock (4779) | Direct |
Holdings (Non-Derivative)
| Security | Shares | Ownership |
|---|---|---|
| Class A Common Stock | 388 | Indirect |
Holdings (Derivative)
| Security | Exercise Price | Expiration | Underlying | Shares | Ownership |
|---|---|---|---|---|---|
| Class B Common Stock | $ | Class A Common Stock (2638294) | 2638294 | Indirect | |
| Class B Common Stock | $ | Class A Common Stock (28020) | 11000 | Indirect |
Footnotes
F1: Represents the number of shares that were acquired upon conversion of Class B Common Stock to Class A Common Stock in connection with the applicable transaction.
F2: These shares were gifted to the Steven W. Streit Family Trust on February 28, 2011 by the reporting person.
F3: These shares that were previously reported as indirectly beneficially owned by the Streit 2009 GRAT A, and subsequently were distributed to and became directly owned by the reporting person on March 8, 2011 pursuant to the terms of the Streit 2009 GRAT A, which provides for annual annuity distributions from the trust to its grantor.
F4: These shares were gifted to the Steven W. Streit Family Trust on March 8, 2011 by the reporting person.
F5: The reporting person is the trustee of the trust.
F6: These shares were previously reported as indirectly beneficially owned by the Streit 2009 GRAT A but were distributed to and became directly owned by the reporting person on February 9, 2012 pursuant to the terms of the Streit 2009 GRAT A, which provides for annual annuity distributions from the trust to its grantor.
F7: These shares were gifted to the Steven W. Streit Family Trust on February 9, 2012 by the reporting person. Thereafter, these shares were contributed to the Streit 2012 GRAT A dated 2/7/2012 on February 29, 2012.
F8: These shares were gifted to the Steven W. Streit Family Trust on February 9, 2012 by the reporting person. Thereafter, these shares were contributed to the Streit 2012 GRAT B dated 2/7/2012 on February 29, 2012.
F9: As of December 31, 2012, the Steven W. Streit Family Trust holds 344,006 shares of Class A Common Stock, which amount reflects the previously reported acquisition of a total of 89,000 shares of Class A Common Stock on November 6 and November 7, 2012.
F10: The reporting person disclaims beneficial ownership of these securities, and this report shall not be deemed an admission that the reporting person is the beneficial owner of such securities for purposes of Section 16 or for any other purpose.
F11: The Class B Common Stock is convertible at the holder's option into the issuer's Class A Common Stock on a 1-for-1 basis and has no expiration date.
F12: These shares that were previously reported as indirectly beneficially owned by the Streit 2009 GRAT B, and subsequently were distributed to and became directly owned by the reporting person on March 8, 2011 pursuant to the terms of the Streit 2009 GRAT B, which provides for annual annuity distributions from the trust to its grantor.
F13: These shares were previously reported as indirectly beneficially owned by the Streit 2009 GRAT B but were distributed to and became directly owned by the reporting person on February 9, 2012 pursuant to the terms of the Streit 2009 GRAT B, which provides for annual annuity distributions from the trust to its grantor.
F14: As of December 31, 2012, the Steven W. Streit Family Trust holds 2,638,294 shares of Class B Common Stock, which amount reflects the previously reported disposition of 4,000 shares of Class B Common Stock on May 9, 2012 in connection with a gift to an unaffiliated entity of a like number of shares of Class A Common Stock issued upon conversion thereof in connection with the gift.
F15: The reporting person no longer has a reportable beneficial ownership interest in 22,020 shares of the issuer's Class B Common Stock owned by one of his children and included in the reporting person's prior ownership reports.