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Ownership Document |
Schema Version: X0508 |
Document Type: 4 |
Period of Report: 11/30/23 |
Issuer: |
| Issuer CIK: 1641614 |
| Issuer Name: CPI Card Group Inc. |
| Issuer Trading Symbol: PMTS |
Reporting Owner: |
| Reporting Owner ID: |
| | Owner CIK: 1903398 |
| | Owner Name: Vollmer Sonya |
| Reporting Owner Address: |
| | Owner Street 1: C/O CPI CARD GROUP INC. |
| | Owner Street 2: 10368 W. CENTENNIAL ROAD |
| | Owner City: LITTLETON |
| | Owner State: CO |
| | Owner ZIP Code: 80127 |
| | Owner State Description: |
| Reporting Owner Relationship: |
| | Is Officer? Yes |
| | Officer Title: Chief Human Resources Officer |
Aff 10b5 One? No |
Derivative Table: |
| Derivative Transaction: |
| | Security Title: |
| | | Value: Restricted Stock Units |
| | Conversion or Exercise Price: |
| | | Footnote ID: F1 |
| | Transaction Date: |
| | | Value: 11/30/23 |
| | Transaction Coding: |
| | | Transaction Form Type: 4 |
| | | Transaction Code: A |
| | | Equity Swap Involved? No |
| | Transaction Amounts: |
| | | Transaction Shares: |
| Value: 1,107 |
| | | Transaction Price Per Share: |
| Value: 0 |
| | | Transaction Acquired-Disposed Code: |
| Value: A |
| | Exercise Date: |
| | | Footnote ID: F2 |
| | Expiration Date: |
| | | Footnote ID: F2 |
| | Underlying Security: |
| | | Underlying Security Title: |
| Value: Common Stock |
| | | Underlying Security Shares: |
| Value: 1,107 |
| | Post-Transaction Amounts: |
| | | Shares Owned Following Transaction: |
| Value: 1,107 |
| | Ownership Nature: |
| | | Direct or Indirect Ownership: |
| Value: D |
| Derivative Transaction: |
| | Security Title: |
| | | Value: Restricted Stock Units |
| | Conversion or Exercise Price: |
| | | Footnote ID: F1 |
| | Transaction Date: |
| | | Value: 11/30/23 |
| | Transaction Coding: |
| | | Transaction Form Type: 4 |
| | | Transaction Code: A |
| | | Equity Swap Involved? No |
| | Transaction Amounts: |
| | | Transaction Shares: |
| Value: 5,904 |
| | | Transaction Price Per Share: |
| Value: 0 |
| | | Transaction Acquired-Disposed Code: |
| Value: A |
| | Exercise Date: |
| | | Footnote ID: F3 |
| | Expiration Date: |
| | | Footnote ID: F3 |
| | Underlying Security: |
| | | Underlying Security Title: |
| Value: Common Stock |
| | | Underlying Security Shares: |
| Value: 5,904 |
| | Post-Transaction Amounts: |
| | | Shares Owned Following Transaction: |
| Value: 5,904 |
| | Ownership Nature: |
| | | Direct or Indirect Ownership: |
| Value: D |
| Derivative Transaction: |
| | Security Title: |
| | | Value: Stock Option (Right to Buy) |
| | Conversion or Exercise Price: |
| | | Value: 17.79 |
| | Transaction Date: |
| | | Value: 11/30/23 |
| | Transaction Coding: |
| | | Transaction Form Type: 4 |
| | | Transaction Code: A |
| | | Equity Swap Involved? No |
| | Transaction Amounts: |
| | | Transaction Shares: |
| Value: 528 |
| | | Transaction Price Per Share: |
| Value: 0 |
| | | Transaction Acquired-Disposed Code: |
| Value: A |
| | Exercise Date: |
| | | Footnote ID: F4 |
| | Expiration Date: |
| | | Value: 11/30/30 |
| | Underlying Security: |
| | | Underlying Security Title: |
| Value: Common Stock |
| | | Underlying Security Shares: |
| Value: 528 |
| | Post-Transaction Amounts: |
| | | Shares Owned Following Transaction: |
| Value: 528 |
| | Ownership Nature: |
| | | Direct or Indirect Ownership: |
| Value: D |
Footnotes: |
| Footnote - F1: Each restricted stock unit ("RSU") represents the right to receive one common share of the Issuer upon vesting of such RSU. |
| Footnote - F2: 50% of the RSUs reported on this line vest on the first anniversary of the November 30, 2023 award date, and 50% will vest on the second anniversary of the award date, subject to the reporting person's continued service through such date or as otherwise provided for in the applicable award agreement. |
| Footnote - F3: 33.4% of the RSUs reported on this line vest on the first anniversary of the November 30, 2023 award date, 33.3% will vest on the second anniversary of the award date, and 33.3% will vest on the third anniversary of the award date, subject to the reporting person's continued service through such date or as otherwise provided for in the applicable award agreement. |
| Footnote - F4: 50% of the options reported on this line vest on the first anniversary of the November 30, 2023 award date, and 50% will vest on the second anniversary of the award date, subject to the reporting person's continued service through such date or as otherwise provided for in the applicable award agreement. |
Owner Signature: |
| Signature Name: /s/ Jessica Browne, attorney-in-fact |
| Signature Date: 12/4/23 |