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