0001144204-15-063393.txt : 20151110 0001144204-15-063393.hdr.sgml : 20151110 20151106163824 ACCESSION NUMBER: 0001144204-15-063393 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20151104 FILED AS OF DATE: 20151106 DATE AS OF CHANGE: 20151106 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: PAID INC CENTRAL INDEX KEY: 0001017655 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-BUSINESS SERVICES, NEC [7389] IRS NUMBER: 731479833 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 4 BRUSSELS STREET STREET 2: SUITE 220 CITY: WORCESTER STATE: MA ZIP: 01610 BUSINESS PHONE: 5166254040 MAIL ADDRESS: STREET 1: 7633 EAST 63RD PL STREET 2: SUITE 220 CITY: TULSA STATE: OK ZIP: 74133 FORMER COMPANY: FORMER CONFORMED NAME: SALES ONLINE DIRECT INC DATE OF NAME CHANGE: 19990525 FORMER COMPANY: FORMER CONFORMED NAME: SECURITIES RESOLUTION ADVISORS INC DATE OF NAME CHANGE: 19980814 FORMER COMPANY: FORMER CONFORMED NAME: ROSE INTERNATIONAL LTD DATE OF NAME CHANGE: 19960627 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Lewis William Austin IV CENTRAL INDEX KEY: 0001344991 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-28720 FILM NUMBER: 151212865 MAIL ADDRESS: STREET 1: 201 E 87TH STREET STREET 2: APT 5H CITY: NEW YORK STATE: NY ZIP: 10128 4 1 v424018_4.xml OWNERSHIP DOCUMENT X0306 4 2015-11-04 0 0001017655 PAID INC PAYD 0001344991 Lewis William Austin IV C/O PAID, INC. 200 FRIBERG PKWY, STE 4004 WESTBOROUGH MA 01581 1 1 0 0 President/CFO/President Common Stock 2015-11-04 4 A 0 45000000 .0017 A 45000000 D Warrant (Right to Buy) .0017 2015-11-04 4 A 0 45000000 0 A 2015-11-04 2020-11-04 Common Stock 45000000 45000000 D Excludes shares held indirectly. Shares are held by the following funds for which W. Austin Lewis, IV is the General Partner: 23,549,960 by Lewis Opportunity Fund, L.P. and 1,612,685 shares by LAM Waiting Game Fund LTD. Excludes options to purchase 14 million shares at $.003 per share expiring on various dates. /s/ W. Austin Lewis IV 2015-11-06