Filing Details

Accession Number:
0001683168-21-001199
Form Type:
4
Zero Holdings:
No
Publication Time:
2021-04-01 20:48:41
Reporting Period:
2021-03-30
Accepted Time:
2021-04-01 20:48:41
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1496443 Paysign Inc. PAYS Services-Business Services, Nec (7389) 954550154
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1742593 Kenneth Mark Attinger 2615 St. Rose Pkwy
Henderson NV 89052
No No No Yes
Reported Non-Derivative Transactions
Sec. Name Acquisiton - Disposition Date Amount Price Remaning Holdings Equity Swap Involved Form Type Code Nature of Ownership Explanation
Common Stock Disposition 2021-03-30 80,000 $4.12 26,084 No 4 S Direct
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 S Direct
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Common Stock Stock Grant Disposition 2021-03-31 180,000 $0.00 0 $0.00
Common Stock Stock Options Disposition 2021-03-31 75,000 $0.00 0 $3.87
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
90,000 No 4 J Direct
25,000 No 4 J Direct
Footnotes
  1. On 10/29/18 received grant of 450,000 shares of Common Stock vesting in equal amounts over a 5 year period on the last day of October if employed by company at that time.
  2. Not applicable.
  3. On 3/23/20 received an option to purchase 100,000 shares of Common Stock for 10 years at $3.87, vesting in equal parts over a 4-year period annually during his service as anemployee.