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