0001213900-23-024103.txt : 20230329 0001213900-23-024103.hdr.sgml : 20230329 20230329161543 ACCESSION NUMBER: 0001213900-23-024103 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230328 FILED AS OF DATE: 20230329 DATE AS OF CHANGE: 20230329 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Laifer Lance CENTRAL INDEX KEY: 0001486719 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38717 FILM NUMBER: 23775386 MAIL ADDRESS: STREET 1: 1 STIRRUP DRIVE CITY: OLD BROOKVILLE STATE: NY ZIP: 11545 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 X0407 4 2023-03-28 0 0001355839 PALTALK, INC. PALT 0001486719 Laifer Lance 30 JERICHO EXECUTIVE PLAZA, SUITE 400E JERICHO NY 11753 1 0 0 0 0 Stock Option (Right to Buy) 1.94 2023-03-28 4 A 0 8000 0 A 2023-03-31 2033-03-27 Common Stock 8000 8000 D The stock option was granted pursuant to a stock option agreement dated March 28, 2023 (the "Option Agreement"). The shares underlying this stock option will vest and become exercisable in four equal quarterly installments on the last day of each calendar quarter in 2023, 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/ Lance Laifer 2023-03-29