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PMTS CPI Card Group Inc

17.975
-0.275 (-1.51%)
Last Updated: 18:02:16
Delayed by 15 minutes
Share Name Share Symbol Market Type
CPI Card Group Inc NASDAQ:PMTS NASDAQ Common Stock
  Price Change % Change Share Price Bid Price Offer Price High Price Low Price Open Price Shares Traded Last Trade
  -0.275 -1.51% 17.975 17.80 18.15 18.16 17.78 18.16 6,490 18:02:16

Statement of Changes in Beneficial Ownership (4)

03/09/2019 10:14pm

Edgar (US Regulatory)


FORM 4
[ ] Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).         
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
                                                                                  
OMB APPROVAL
OMB Number: 3235-0287
Estimated average burden
hours per response...
0.5                       
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
                      

1. Name and Address of Reporting Person *

Dubin Lane
2. Issuer Name and Ticker or Trading Symbol

CPI Card Group Inc. [ PMTS ]
5. Relationship of Reporting Person(s) to Issuer (Check all applicable)

_____ Director                    _____ 10% Owner
__X__ Officer (give title below)    _____ Other (specify below)
SVP/GM Prepd-Instant Issuance
(Last)          (First)          (Middle)

C/O CPI CARD GROUP INC., 10026 WEST SAN JUAN WAY
3. Date of Earliest Transaction (MM/DD/YYYY)

9/1/2019
(Street)

LITTLETON, CO 80127
(City)        (State)        (Zip)
4. If Amendment, Date Original Filed (MM/DD/YYYY)

 
6. Individual or Joint/Group Filing (Check Applicable Line)

_X _ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person

Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Trans. Date 2A. Deemed Execution Date, if any 3. Trans. Code
(Instr. 8)
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock  9/1/2019    M    928  A  (1) 2226  D   
Common Stock  9/1/2019    F(2)    265  D $2.88  1961  D   

Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivate Security
(Instr. 3)
2. Conversion or Exercise Price of Derivative Security 3. Trans. Date 3A. Deemed Execution Date, if any 4. Trans. Code
(Instr. 8)
5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
6. Date Exercisable and Expiration Date 7. Title and Amount of Securities Underlying Derivative Security
(Instr. 3 and 4)
8. Price of Derivative Security
(Instr. 5)
9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Restricted Stock Units   (1) 9/1/2019    M        928    (3)  (3) Common Stock  928  $0  928  D   

Explanation of Responses:
(1)  Each restricted stock unit ("RSU") represents the right to receive one common share of Issuer upon vesting of such RSU.
(2)  Shares withheld by Issuer to satisfy the mandatory tax withholding requirement upon vesting of restricted stock. Not an open market sale of securities.
(3)  On 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.

Reporting Owners
Reporting Owner Name / Address
Relationships
Director 10% Owner Officer Other
Dubin Lane
C/O CPI CARD GROUP INC.
10026 WEST SAN JUAN WAY
LITTLETON, CO 80127


SVP/GM Prepd-Instant Issuance

Signatures
/s/ Sarah Kilgore, attorney-in-fact 9/3/2019
**Signature of Reporting Person Date


Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4(b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number.

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