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GREEN DOT CORP Director's Dealing 2013

Feb 13, 2013

32420_dirs_2013-02-13_cb10a604-8322-45ad-b30c-fc01a20d2990.zip

Director's Dealing

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SEC Form 5 — Annual Statement of Changes in Beneficial Ownership

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)

Derivative Transactions

Date Security Exercise Price Code Shares A/D Expiration Underlying Ownership
2011-02-28 Class B Common Stock $ G 210247 Disposed Class A Common Stock (210247) Direct
2011-02-28 Class B Common Stock $ G 210247 Acquired Class A Common Stock (210247) Indirect
2011-03-08 Class B Common Stock $ G 44759 Disposed Class A Common Stock (44759) Direct
2011-03-08 Class B Common Stock $ G 44759 Acquired Class A Common Stock (44759) Indirect
2012-02-29 Class B Common Stock $ G 100339 Disposed Class A Common Stock (100339) Direct

Holdings (Non-Derivative)

Security Shares Ownership
Class A Common Stock 89000 Indirect
Class A Common Stock 388 Indirect

Holdings (Derivative)

Security Exercise Price Expiration Underlying Shares Ownership
Class B Common Stock $ Class A Common Stock (95560) 95560 Indirect
Class B Common Stock $ Class A Common Stock (4779) 4779 Indirect
Class B Common Stock $ Class A Common Stock (28020) 28020 Indirect

Footnotes

F1: The reporting person is the trustee of the trust.

F2: 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.

F3: 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.

F4: These shares were gifted to the Steven W. Streit Family Trust on February 28, 2011 by the reporting person.

F5: These shares were gifted to the Steven W. Streit Family Trust on March 8, 2011 by the reporting person.

F6: Includes 42,627 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.

F7: Includes 2,132 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.

F8: As of December 31, 2012, the Steven W. Streit Family Trust holds 2,893,300 shares of Class B Common Stock, which amount reflects the previously reported dispositions of 17,000 shares of Class B Common Stock on May 19, 2011 and 4,000 shares of Class B Common Stock on May 9, 2012 in connection with gifts to unaffiliated entities of a like number of shares of Class A Common Stock issued upon conversion thereof in connection with these gifts.

F9: 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. Thereafter, these shares were contributed to the Streit 2012 GRAT A dated 2/7/2012 on February 29, 2012.

F10: 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. Thereafter, these shares were contributed to the Streit 2012 GRAT B dated 2/7/2012 on February 29, 2012.

F11: The reporting person no longer has a reportable beneficial ownership interest in 5,000 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.