0001213900-22-016263.txt : 20220330 0001213900-22-016263.hdr.sgml : 20220330 20220330172950 ACCESSION NUMBER: 0001213900-22-016263 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220329 FILED AS OF DATE: 20220330 DATE AS OF CHANGE: 20220330 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Katz Jason CENTRAL INDEX KEY: 0001685908 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38717 FILM NUMBER: 22787980 MAIL ADDRESS: STREET 1: C/O A.V.M. SOFTWARE, INC. STREET 2: 122 EAST 42ND STREET CITY: NEW YORK STATE: NY ZIP: 10017 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: PALTALK, INC. CENTRAL INDEX KEY: 0001355839 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-BUSINESS SERVICES, NEC [7389] IRS NUMBER: 203191847 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 30 JERICHO EXECUTIVE PLAZA STREET 2: SUITE 400E CITY: JERICHO STATE: NY ZIP: 11753 BUSINESS PHONE: (212) 594-5050 MAIL ADDRESS: STREET 1: 30 JERICHO EXECUTIVE PLAZA STREET 2: SUITE 400E CITY: JERICHO STATE: NY ZIP: 11753 FORMER COMPANY: FORMER CONFORMED NAME: PeerStream, Inc. DATE OF NAME CHANGE: 20180312 FORMER COMPANY: FORMER CONFORMED NAME: Snap Interactive, Inc DATE OF NAME CHANGE: 20071121 FORMER COMPANY: FORMER CONFORMED NAME: eTwine Holdings, Inc DATE OF NAME CHANGE: 20060310 4 1 ownership.xml X0306 4 2022-03-29 0 0001355839 PALTALK, INC. PALT 0001685908 Katz Jason 30 JERICHO EXECUTIVE PLAZA, SUITE 400E JERICHO NY 11753 1 1 0 0 CEO, President, COO & Chairman Stock Option (Right to Buy) 2.66 2022-03-29 4 A 0 75000 0 A 2022-03-29 2032-03-28 Common Stock 75000 75000 D The stock option was granted pursuant to a stock option agreement dated March 29, 2022. One-third of the shares underlying this stock option vested and became exercisable on the date of grant. The remaining unvested shares will vest in twenty-four equal monthly installments on each of the first twenty-four monthly anniversaries of the grant date as long as the reporting person is providing services to Paltalk, Inc. on such dates; provided, that upon the effective date of a "change in control" (as defined in the Paltalk, Inc. 2016 Long-Term Incentive Plan), 100% of the then-unvested shares shall immediately vest and become fully exercisable, if not previously so exercisable, on the date of the change in control. /s/ Jason Katz 2022-03-30