0001209191-22-005616.txt : 20220131
0001209191-22-005616.hdr.sgml : 20220131
20220131170022
ACCESSION NUMBER: 0001209191-22-005616
CONFORMED SUBMISSION TYPE: 5
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20211231
FILED AS OF DATE: 20220131
DATE AS OF CHANGE: 20220131
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Hartheimer Robert Herman
CENTRAL INDEX KEY: 0001455809
FILING VALUES:
FORM TYPE: 5
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38531
FILM NUMBER: 22574796
MAIL ADDRESS:
STREET 1: 3232 RITTENHOUSE STREET NW
CITY: WASHINGTON
STATE: DC
ZIP: 20015
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
5
1
doc5.xml
FORM 5 SUBMISSION
X0306
5
2021-12-31
0
0
0
0001720592
Repay Holdings Corp
RPAY
0001455809
Hartheimer Robert Herman
3 WEST PACES FERRY ROAD
SUITE 200
ATLANTA
GA
30305
1
0
0
0
Class A Common Stock
2021-11-16
5
G
0
625
0.00
D
43931
D
/s/Timothy J. Murphy, as Attorney-in-Fact
2022-01-31