Filing Details

Accession Number:
0001683168-22-007231
Form Type:
4
Zero Holdings:
No
Publication Time:
2022-11-02 19:44:39
Reporting Period:
2022-10-31
Accepted Time:
2022-11-02 19:44:39
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
1758549 Robert Strobo 2615 St. Rose Parkway
Henderson NV 89052
Chief Legal Officer No 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 Acquisiton 2022-10-31 40,000 $2.45 130,052 No 4 M Direct
Common Stock Disposition 2022-11-02 16,201 $2.36 113,851 No 4 S Direct
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 M Direct
No 4 S Direct
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Common Stock Stock Grant Acquisiton 2022-10-31 40,000 $0.00 0 $0.00
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
40,000 No 4 M Direct
Footnotes
  1. On October 22, 2018, the reporting person received a grant of 200,000 shares of common stock vesting annually in equal amounts over a five-year period commencing on October 31, 2019. As of the date of this filing, 160,000 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 $2.31 to $2.40, 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.
  3. These shares of common stock were sold to satisfy certain tax withholding obligations associated with the vesting of restricted stock.