0001209191-22-034825.txt : 20220607 0001209191-22-034825.hdr.sgml : 20220607 20220607160801 ACCESSION NUMBER: 0001209191-22-034825 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20220606 FILED AS OF DATE: 20220607 DATE AS OF CHANGE: 20220607 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: 221001303 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 2022-06-06 0 0001841156 Paymentus Holdings, Inc. PAY 0001269473 INGRAM WILLIAM 18390 NE 68TH ST. REDMOND WA 98052 1 0 0 0 Class A Common Stock 2022-06-06 4 A 0 11409 0.00 A 59028 D Represents an equal number of restricted stock units ("RSUs") granted pursuant to the Issuer's 2021 Equity Incentive Plan. Each RSU represents the right to receive a share of the Issuer's Class A common stock on the date it vests, subject to continued service of the reporting person through the applicable vesting date. The RSUs will vest on the earlier of (a) the one year anniversary of the grant date or (b) the date of the next annual meeting of stockholders following the grant date. /s/ Andrew A. Gerber, Attorney-in-Fact 2022-06-07 EX-24 2 attachment1.htm EX-24 DOCUMENT
                               POWER OF ATTORNEY

The undersigned, as a Section 16 reporting person of Paymentus Holdings,
Inc. (the "Company"), hereby constitutes and appoints Barbara Mery, Nabiila
Hendryani-Soehedi, each of the responsible attorneys and paralegals of Wilson
Sonsini Goodrich & Rosati, Professional Corporation, and Andrew Gerber,
Meredith Burbank, Matt Parson, Kelly Weisweaver and Maria Goffman of the
Company, the
true and lawful attorney-in-fact of the undersigned to:

1.   complete and execute Forms ID, 3, 4 and 5 and other forms and all
amendments thereto as such attorney-in-fact shall in his or her discretion
determine to be required or advisable pursuant to Section 16 of the Securities
Exchange Act of 1934 (as amended) and the rules and regulations promulgated
thereunder, or any successor laws and regulations, as a consequence of the
ownership, acquisition or disposition by the undersigned of securities of the
Company; and

2.   do all acts necessary in order to file such forms with the Securities and
Exchange Commission, any securities exchange or national association, the
Company and such other person or agency as the attorney-in-fact shall deem
appropriate.

     The undersigned hereby ratifies and confirms all that said
attorneys-in-fact and agents shall do or cause to be done by virtue hereof.
The undersigned acknowledges that the foregoing attorneys-in-fact, in serving
in such capacity at the request of the undersigned, are not assuming, nor is the
Company assuming, any of the responsibilities of the undersigned to comply with
Section 16 of the Securities Exchange Act of 1934 (as amended).

     This Power of Attorney shall remain in full force and effect until the
undersigned is no longer required to file Forms ID, 3, 4 and 5 with respect to
his or her holdings of and transactions in securities issued by the
Company, unless earlier revoked by the undersigned in a signed writing delivered
to the Company and the foregoing attorneys-in-fact.

     IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be
executed as of June 6, 2022.


Signature: /s/ William Ingram
           ------------------------
           William Ingram