0001209191-23-037958.txt : 20230616
0001209191-23-037958.hdr.sgml : 20230616
20230616170033
ACCESSION NUMBER: 0001209191-23-037958
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230614
FILED AS OF DATE: 20230616
DATE AS OF CHANGE: 20230616
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: 231022088
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
X0407
4
2023-06-14
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
0
Class A Common Stock
2023-06-14
4
A
0
22941
0.00
A
63331
D
Reflects a grant of restricted stock units that will vest on the one-year anniversary of the grant date. The shares subject to the units will be issued to the Reporting Person after the Reporting Person ceases to be a director of the Issuer pursuant to the terms of the award agreement.
/s/Timothy J. Murphy, as Attorney-in-Fact
2023-06-16