e8va12b
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
FORM 8-A
FOR REGISTRATION OF CERTAIN CLASSES OF SECURITIES
PURSUANT TO SECTION 12(b) OR (g) OF THE
SECURITIES EXCHANGE ACT OF l934
(Exact name of Registrant as specified in its charter)
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Delaware
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95-4766827 |
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(State of incorporation or organization)
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(I.R.S. Employer Identification No.) |
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605 East Huntington Drive, Suite 205 |
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Monrovia, CA
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91016 |
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(Address of principal executive offices)
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(Zip Code) |
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Securities to be registered pursuant to Section 12(b) of the Act:
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Title of each class
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Name of each exchange on which |
to be so registered
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each class is to be registered |
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Class A Common Stock, par value $0.001 per share
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New York Stock Exchange |
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If this form relates to the registration of a class of securities pursuant to Section 12(b) of
the Exchange Act and is effective pursuant to General Instruction A.(c), please check the following
box. þ
If this form relates to the registration of a class of securities pursuant to Section 12(g) of
the Exchange Act and is effective pursuant to General Instruction A.(d), please check the following
box. o
Securities Act registration statement file number to which this form relates: 333-165081.
Securities to be registered pursuant to Section 12(g) of the Act:
(Title of Class)
(Title of Class)
Item 1. Description of Registrants Securities to be Registered.
A description of the class A common stock, par value $0.001 per share (the Class A Common
Stock), of Green Dot Corporation (the Registrant) is set forth under the caption Description of
Capital Stock in the prospectus constituting part of the Registrants registration statement on
Form S-1 (Registration No. 333-165081) initially filed with the Securities and Exchange Commission
(the Commission) on February 26, 2010, as thereafter amended (the Registration Statement),
which description is incorporated herein by reference. The description of the Class A Common Stock
included in any form of prospectus subsequently filed by the Registrant with the Commission
pursuant to Rule 424(b) under the Securities Act of 1933, as amended, shall be deemed to be
incorporated by reference herein.
Item 2. Exhibits.
Pursuant to the Instructions as to Exhibits for this regisration statement on Form 8-A, no
exhibits are required to be filed because no other securities of the Registrant are registered on
the New York Stock Exchange and the securities registered hereby are not being registered pursuant
to Section 12(g) of the Securities Exchange Act of 1934, as amended.
SIGNATURE
Pursuant to the requirements of Section 12 of the Securities Exchange Act of 1934, the
Registrant has duly caused this registration statement to be signed on its behalf by the
undersigned, thereunto duly authorized.
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Dated: July 13, 2010 |
GREEN DOT CORPORAITON
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By: |
/s/ Steven W. Streit
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Steven W. Streit |
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President and Chief Executive Officer |
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