0001209191-21-036582.txt : 20210528
0001209191-21-036582.hdr.sgml : 20210528
20210528170700
ACCESSION NUMBER: 0001209191-21-036582
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210528
FILED AS OF DATE: 20210528
DATE AS OF CHANGE: 20210528
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: INGRAM WILLIAM
CENTRAL INDEX KEY: 0001269473
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40429
FILM NUMBER: 21981481
MAIL ADDRESS:
STREET 1: C/O LEAP WIRELESS INTERNATIONAL, INC.
STREET 2: 5887 COPLEY DRIVE
CITY: SAN DIEGO
STATE: CA
ZIP: 92111
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Paymentus Holdings, Inc.
CENTRAL INDEX KEY: 0001841156
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-BUSINESS SERVICES, NEC [7389]
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 18390 NE 68TH ST.
CITY: REDMOND
STATE: WA
ZIP: 98052
BUSINESS PHONE: (888) 440-4826
MAIL ADDRESS:
STREET 1: 18390 NE 68TH ST.
CITY: REDMOND
STATE: WA
ZIP: 98052
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2021-05-28
0
0001841156
Paymentus Holdings, Inc.
PAY
0001269473
INGRAM WILLIAM
18390 NE 68TH ST.
REDMOND
WA
98052
1
0
0
0
Class A Common Stock
2021-05-28
4
P
0
47619
21.00
A
47619
D
Stock Option (Right to Buy)
9.55
2021-05-28
4
J
0
26195
0.00
D
2031-03-09
Common Stock
26195
0
D
Stock Option (Right to Buy)
9.55
2021-05-28
4
J
0
26195
0.00
A
2031-03-09
Class B Common Stock
26195
26195
D
Represents shares acquired pursuant to a directed share program in connection with the Issuer's initial public offering of Class A Common Stock.
Pursuant to a reclassification exempt under Rule 16b-7, each share of Common Stock was automatically reclassified into one share of Class B Common Stock immediately prior to the completion of the Issuer's initial public offering of Class A Common Stock. Class B Common Stock is convertible at any time, at the holder's election and automatically in connection with certain transfers and upon certain other events, into an equal number of shares of Class A Common Stock and has no expiration date.
One third (1/3rd) of the shares subject to the award shall vest one year after February 25, 2021, or the Vesting Commencement Date, and one twelfth (1/12th) of the shares subject to the award shall vest quarterly thereafter on the same day of the month as the Vesting Commencement Date.
/s/ John Morrow, Attorney-in-Fact
2021-05-28