0001213900-22-016268.txt : 20220330 0001213900-22-016268.hdr.sgml : 20220330 20220330173113 ACCESSION NUMBER: 0001213900-22-016268 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: Zalko Adam CENTRAL INDEX KEY: 0001904922 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38717 FILM NUMBER: 22788020 MAIL ADDRESS: STREET 1: 30 JERICHO EXECUTIVE PLAZA STREET 2: SUITE 400E CITY: JERICHO STATE: NY ZIP: 11753 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 0001904922 Zalko Adam 30 JERICHO EXECUTIVE PLAZA, SUITE 400E JERICHO NY 11753 0 1 0 0 Vice President of Engineering Stock Option (Right to Buy) 2.66 2022-03-29 4 A 0 15000 0 A 2022-03-29 2032-03-28 Common Stock 15000 15000 D 1. The stock option was granted pursuant to a stock option agreement dated March 29, 2022 (the "Option Agreement"). On the grant date, 5,000 shares vested and became exercisable. The remaining unvested shares will vest and become exercisable in four equal annual installments beginning on the first anniversary of the date of grant, 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), 50% of the then-unvested shares immediately will vest on the date of the change in control and the remaining 50% of the then-unvested shares will vest on the earlier of (i) the original date such shares would have vested or (ii) on the first and second anniversaries of the effective date of the change in control in equal installments, in each case subject to the terms and conditions of the Option Agreement. /s/ Adam Zalko 2022-03-30