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