SECURITIES AND EXCHANGE COMMISSION
SCHEDULE 13G
(Rule 13d-102)
INFORMATION TO BE INCLUDED IN STATEMENT FILED PURSUANT TO §240.13d-1(b),
(c) AND (d) AND AMENDMENTS THERETO FILED PURSUANT TO §240.13d-2
Check the appropriate box to designate the rule pursuant to which this Schedule is filed:
o Rule 13d-1(b)
o Rule 13d-1(c)
þ Rule 13d-1(d)
* The remainder of this cover page shall be filled out for a reporting persons initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter disclosures provided in a prior cover page.
The information required on the remainder of this cover page shall not be deemed to be filed for the purpose of Section 18 of the Securities Exchange Act of 1934 (Act) or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes).
CUSIP No. |
39304D 102 |
Page | 2 |
of | 5 Pages |
1 | NAME OF REPORTING PERSON Mark T. Troughton |
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2 | CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (SEE INSTRUCTIONS) |
||||
(a) o | |||||
(b) o | |||||
3 | SEC USE ONLY | ||||
4 | CITIZENSHIP OR PLACE OF ORGANIZATION | ||||
U.S. | |||||
5 | SOLE VOTING POWER | ||||
NUMBER OF | 980,619 shares (1)(2) | ||||
SHARES | 6 | SHARED VOTING POWER | |||
BENEFICIALLY | |||||
OWNED BY | 126,250 shares (2)(3) | ||||
EACH | 7 | SOLE DISPOSITIVE POWER | |||
REPORTING | |||||
PERSON | 980,619 shares (1)(2) | ||||
WITH | 8 | SHARED DISPOSITIVE POWER | |||
126,250 shares (2)(3) | |||||
9 | AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON | ||||
1,106,869 (1)(2)(3) | |||||
10 | CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS) | ||||
o | |||||
11 | PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9) | ||||
7.0% * | |||||
12 | TYPE OF REPORTING PERSON (SEE INSTRUCTIONS) | ||||
IN |
CUSIP No. |
39304D 102 |
Page | 3 |
of | 5 Pages |
Item 1. |
(a) | Name of Issuer: | ||
Green Dot Corporation (the Issuer) | |||
(b) | Address of Issuers Principal Executive Offices: | ||
605 East Huntington Drive, Suite 205 Monrovia, CA 91016 |
Item 2. |
(a) | Name of Person Filing: | ||
Mark T. Troughton (the Reporting Person) | |||
(b) | Address of Principal Business Office: | ||
c/o Green Dot Corporation 605 East Huntington Drive, Suite 205 Monrovia, CA 91016 |
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(c) | Citizenship: | ||
U.S. | |||
(d) | Title of Class of Securities: | ||
Class A Common Stock, par value $0.001 per share | |||
(e) | CUSIP Number: | ||
39304D 102 |
Item 3. | Not applicable |
Item 4. | Ownership. |
(a) | Amount beneficially owned: | ||
See Row 9 of cover page for the Reporting Person | |||
(b) | Percent of class: | ||
See Row 11 of cover page for the Reporting Person |
CUSIP No. |
39304D 102 |
Page | 4 |
of | 5 Pages |
(c) | Number of shares as to which the person has: |
(i) | Sole power to vote or to direct the vote: See Row 5 of cover page for the Reporting Person |
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(ii) | Shared power to vote or to direct the vote: See Row 6 of cover page for the Reporting Person |
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(iii) | Sole power to dispose or to direct the disposition of: See Row 7 of cover page for the Reporting Person |
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(iv) | Shared power to dispose or to direct the disposition of: See Row 8 of cover page for the Reporting Person |
Item 5. | Ownership of Five Percent or Less of a Class. | |
Not applicable | ||
Item 6. | Ownership of More Than Five Percent on Behalf of Another Person. | |
Not applicable | ||
Item 7. | Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on by the Parent Holding Company or Control Person. | |
Not applicable | ||
Item 8. | Identification and Classification of Members of the Group. | |
Not applicable | ||
Item 9. | Notice of Dissolution of Group. | |
Not applicable | ||
Item 10. | Certifications. | |
Not applicable |
CUSIP No. |
39304D 102 |
Page | 5 |
of | 5 Pages |
Dated: February 10, 2011 | /s/ Mark T. Troughton | |||
Name: | Mark T. Troughton | |||