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3 Form - Initial statement of beneficial ownership of securities - CPI Card Group Inc. (0001641614) (Issuer)

SEC FORM 3SEC Form 3
FORM 3UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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OMB Number:3235-0104
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1. Name and Address of Reporting Person*
Frasier Loretta G

(Last)(First)(Middle)
C/O CPI CARD GROUP INC.
10026 WEST SAN JUAN WAY

(Street)
LITTLETONCO80127

(City)(State)(Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
10/07/2019
3. Issuer Name and Ticker or Trading Symbol
CPI Card Group Inc. [ PMTS ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director10% Owner
XOfficer (give title below)Other (specify below)
Chief Human Resources Officer
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
XForm filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year)3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date ExercisableExpiration DateTitleAmount or Number of Shares
Explanation of Responses:
Remarks:
Exhibit List Exhibit 24.1 - Power of Attorney
No securities are beneficially owned.
/s/ Sarah Kilgore, as attorney-in-fact10/11/2019
** Signature of Reporting PersonDate
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 5 (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 Number.

Comments

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BoloStockAlerts @BoloStockAlerts - 2 days ago
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StockTexts-profile-image
StockTexts @StockTexts - 3 days ago
$PMTS CPI Card Group Inc. SEC Filing: Form 3 https://t.co/cutGuY7jci
confcalltran-profile-image
Conf Call Tran @confcalltran - 3 days ago
CPI Card Group Inc.'s Chief Human Resources Officer just declared 0 ownership of the company. https://t.co/25BlKUVcSx $PMTS
FlashAlert_me-profile-image
Flash Alert @FlashAlert_me - 3 days ago
$PMTS filed SEC form 3: Chief Human Resources Officer Frasier Loretta G: https://t.co/UY9saXVtAG
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Stock News @NewsToDesk - 5 days ago
$NSEC $PPDF $PMTS: National Security Group and PPDAI Group the only financial gainers …: https://t.co/lT4bPKRvEy
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