0001213900-19-018828.txt : 20190924
0001213900-19-018828.hdr.sgml : 20190924
20190924193331
ACCESSION NUMBER: 0001213900-19-018828
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190920
FILED AS OF DATE: 20190924
DATE AS OF CHANGE: 20190924
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: THORNBURGH RICHARD E
CENTRAL INDEX KEY: 0001369635
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38531
FILM NUMBER: 191111822
MAIL ADDRESS:
STREET 1: 401 N. MAIN STREET
CITY: WINSTON-SALEM
STATE: NC
ZIP: 27101
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Repay Holdings Corp
CENTRAL INDEX KEY: 0001720592
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-BUSINESS SERVICES, NEC [7389]
IRS NUMBER: 000000000
STATE OF INCORPORATION: E9
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 3 WEST PACES FERRY ROAD
STREET 2: SUITE 200
CITY: ATLANTA
STATE: GA
ZIP: 30305
BUSINESS PHONE: (404) 504-7474
MAIL ADDRESS:
STREET 1: 3 WEST PACES FERRY ROAD
STREET 2: SUITE 200
CITY: ATLANTA
STATE: GA
ZIP: 30305
FORMER COMPANY:
FORMER CONFORMED NAME: Thunder Bridge Acquisition Ltd
DATE OF NAME CHANGE: 20171024
4
1
ownership.xml
X0306
4
2019-09-20
0
0001720592
Repay Holdings Corp
RPAY
0001369635
THORNBURGH RICHARD E
C/O REPAY HOLDINGS CORPORATION
3 WEST PACES FERRY ROAD, SUITE 200
ATLANTA
GA
30305
1
0
0
0
Class A Common Stock
2019-09-20
4
A
0
12445
0
A
12445
D
Reflects a grant of restricted stock units that vest on the earlier of: (a) the one-year anniversary of the grant date, and (b) the next regularly scheduled annual meeting of the stockholders of the Issuer following the grant date. The shares subject to the units will be issued to the Reporting Person after the Reporting Person ceases to be a director of the Issuer pursuant to the terms of the award agreement.
The Reporting Person is a senior adviser of Corsair Capital LLC or one of its affiliates ("collectively, "Corsair"). Pursuant to arrangements, a portion of the value of these securities or of any disposition of these securities will be applied against certain management fees payable to Corsair pursuant to applicable fund documents.
/s/ Timothy J. Murphy, as Attorney-in-Fact
2019-09-24