0001209191-20-064110.txt : 20201217
0001209191-20-064110.hdr.sgml : 20201217
20201217170252
ACCESSION NUMBER: 0001209191-20-064110
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20201215
FILED AS OF DATE: 20201217
DATE AS OF CHANGE: 20201217
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: JACOBS WILLIAM I
CENTRAL INDEX KEY: 0001019556
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38531
FILM NUMBER: 201396822
MAIL ADDRESS:
STREET 1: C/O MASTERCARD INTERNATIONAL INC
STREET 2: 2000 PURCHASE ST
CITY: PUCHASE
STATE: NY
ZIP: 10577-2509
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Repay Holdings Corp
CENTRAL INDEX KEY: 0001720592
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-BUSINESS SERVICES, NEC [7389]
IRS NUMBER: 000000000
STATE OF INCORPORATION: E9
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 3 WEST PACES FERRY ROAD
STREET 2: SUITE 200
CITY: ATLANTA
STATE: GA
ZIP: 30305
BUSINESS PHONE: (404) 504-7474
MAIL ADDRESS:
STREET 1: 3 WEST PACES FERRY ROAD
STREET 2: SUITE 200
CITY: ATLANTA
STATE: GA
ZIP: 30305
FORMER COMPANY:
FORMER CONFORMED NAME: Thunder Bridge Acquisition Ltd
DATE OF NAME CHANGE: 20171024
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2020-12-15
0
0001720592
Repay Holdings Corp
RPAY
0001019556
JACOBS WILLIAM I
C/O REPAY HOLDINGS CORPORATION
3 WEST PACES FERRY ROAD, SUITE 200
ATLANTA
GA
30305
1
0
0
0
Class A Common Stock
2020-12-15
4
M
0
20000
A
39386
D
Class A Common Stock
2020-12-15
4
S
0
20000
24.53
D
19386
D
Post-Merger Repay Units
2020-12-15
4
M
0
20000
D
Class A Common Stock
20000
205202
D
Reflects an exchange of Post-Merger Repay Units (as defined below) on a one-for-one basis for shares of Class A common stock of the Repay Holdings Corporation (the "Issuer") pursuant to the Exchange Agreement (as defined below).
The sales price indicated is a weighted average sales price. The corresponding shares were sold in multiple transactions at prices ranging from $24.50 to $24.58 inclusive. The Reporting Person undertakes to provide to the Issuer, any securityholder of the Issuer or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each price within the ranges set forth.
Represents non-voting limited liability company interests (the "Post-Merger Repay Units") in Hawk Parent Holdings, LLC ("Hawk Parent"). Pursuant to the terms of an exchange agreement (the "Exchange Agreement") among Hawk Parent, the Issuer and certain holders of the Post-Merger Repay Units, the Post-Merger Repay Units may be exchanged at the discretion of the holder for shares of Class A common stock of the Issuer on a one-for-one basis, or, at the option of the Issuer, cash. These exchange rights do not expire.
/s/Timothy J. Murphy, as Attorney-in-Fact
2020-12-17