Filing Details

Accession Number:
0001683168-21-004258
Form Type:
4
Zero Holdings:
No
Publication Time:
2021-09-13 19:56:23
Reporting Period:
2021-09-09
Accepted Time:
2021-09-13 19:56:23
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
1717123 M Joan Herman 2615 St. Rose Parkway
Henderson NV 89052
Evp, Operations Yes Yes No No
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 2021-09-09 2,943 $2.56 757,668 No 4 S Direct
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 S Direct
Footnotes
  1. On June 29, 2017, the reporting person received a grant of 1,000,000 shares of common stock. 200,000 vested on date of employment (9/4/17). The remaining 800,000 vested annually in equal amounts over a four-year period commencing on September 3, 2018. As of the date of this filing, 1,000,000 shares of common stock have vested and been issued.
  2. The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $2.35 to $2.83, inclusive. The reporting person undertakes to provide to Paysign, Inc. (the "Company"), any security holder of the Company, or the staff of the Securities and Exchange Commission (the "SEC"), upon request, full information regarding the number of shares sold at each separate price within the range set forth in this footnote.