0001415889-17-000033.txt : 20170104
0001415889-17-000033.hdr.sgml : 20170104
20170104183632
ACCESSION NUMBER: 0001415889-17-000033
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20161230
FILED AS OF DATE: 20170104
DATE AS OF CHANGE: 20170104
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: 200 FRIBERG PARKWAY
STREET 2: SUITE 4004
CITY: WESTBOROUGH
STATE: MA
ZIP: 01581
BUSINESS PHONE: 617-861-6050
MAIL ADDRESS:
STREET 1: 200 FRIBERG PARKWAY
STREET 2: SUITE 4004
CITY: WESTBOROUGH
STATE: MA
ZIP: 01581
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: 17507791
MAIL ADDRESS:
STREET 1: 201 E 87TH STREET
STREET 2: APT 5H
CITY: NEW YORK
STATE: NY
ZIP: 10128
4
1
form4-01042017_030122.xml
X0306
4
2016-12-30
0001017655
PAID INC
PAYDD
0001344991
Lewis William Austin IV
C/O PAID, INC.
200 FRIBERG PKWY, STE 4004
WESTBOROUGH
MA
01581
true
true
false
false
PRESIDENT AND CFO
Common Stock
2017-01-02
4
A
0
77121
1.46
A
257121
I
By Lewis Asset Mgmt. Corp.
Preferred Stock
2017-01-02
4
A
0
536346
1.46
A
536346
I
By Lewis Asset Mgmt. Corp.
Exchangeable Shares (Right to Convert to Common)
2016-12-30
4
A
0
77121
0
A
2016-12-30
2021-12-30
Common Stock
77121
77121
I
By Lewis Asset Mgmt. Corp.
Exchangeable Shares (Right to Convert to Preferred)
2016-12-30
4
A
0
536346
0
A
2016-12-30
2021-12-30
Common Stock
536346
536346
I
By Lewis Asset Mgmt. Corp.
Exchangeable Shares (Right to Convert to Common)
2017-01-02
4
D
0
77121
0
D
2016-12-30
2021-12-30
Common Stock
77121
77121
I
By Lewis Asset Mgmt. Corp.
Exchangeable Shares (Right to Convert to Preferred)
2017-01-02
4
D
0
536346
0
D
2016-12-30
2021-12-30
Common Stock
536346
536346
I
By Lewis Asset Mgmt. Corp.
Warrant (Right to Buy Exchgble Shares Convtble into Common)
1.46
2016-12-30
4
A
0
34425
0
A
2016-12-30
2021-12-30
Common Stock
34425
34425
I
By Lewis Asset Mgmt. Corp.
Warrant (Right to Buy Exchgble Shares Convtble into Common)
1.46
2016-12-30
4
A
0
239412
0
A
2016-12-30
2021-12-30
Common Stock
239412
239412
I
By Lewis Asset Mgmt. Corp.
All numbers reflect a reverse split of 1:3000 followed by an immediate forward split of 300:1 effective on December 30, 2016.
Exchangeable shares are rights to PAID, Inc.'s common stock and preferred stock. These rights can be exercised by the conversion of the exchangeable shares into shares of common and preferred stock of PAID Inc. in accordance with an Exchange and Call Rights Agreement filed as Appendix I to its Consent Solicitation Statement on Form 14A of PAID Inc. filed on October, 7 2016. Mr. Lewis may exercise his exchangeable rights as specified in the Exchange and Call Rights Agreement. The Preferred stock of PAID, Inc. is non-voting.
Merger consideration equal to a valuation at $1.46 per share.
/s/ W. Austin Lewis
2017-01-04