0000899243-21-021646.txt : 20210602
0000899243-21-021646.hdr.sgml : 20210602
20210602190234
ACCESSION NUMBER: 0000899243-21-021646
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210528
FILED AS OF DATE: 20210602
DATE AS OF CHANGE: 20210602
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Barnds Thomas
CENTRAL INDEX KEY: 0001474980
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40429
FILM NUMBER: 21990747
MAIL ADDRESS:
STREET 1: C/O ACCEL-KKR CAPITAL PARTNERS III, LP
STREET 2: 2500 SAND HILL ROAD, SUITE 300
CITY: MENLO PARK
STATE: CA
ZIP: 94025
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Palumbo Robert
CENTRAL INDEX KEY: 0001475179
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40429
FILM NUMBER: 21990748
MAIL ADDRESS:
STREET 1: C/O ACCEL-KKR CAPITAL PARTNERS III, LP
STREET 2: 2500 SAND HILLS ROAD, STE. 300
CITY: MENLO PARK
STATE: CA
ZIP: 94025
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Accel-KKR Growth Capital Partners II, LP
CENTRAL INDEX KEY: 0001602532
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40429
FILM NUMBER: 21990750
BUSINESS ADDRESS:
STREET 1: 2500 SAND HILL ROAD, SUITE 300
CITY: MENLO PARK
STATE: CA
ZIP: 94025
BUSINESS PHONE: (650) 289-2460
MAIL ADDRESS:
STREET 1: 2500 SAND HILL ROAD, SUITE 300
CITY: MENLO PARK
STATE: CA
ZIP: 94025
FORMER NAME:
FORMER CONFORMED NAME: ACCEL-KKR STRUCTURED CAPITAL PARTNERS II, LP
DATE OF NAME CHANGE: 20140313
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Accel-KKR Growth Capital Partners II Strategic Fund, LP
CENTRAL INDEX KEY: 0001602533
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40429
FILM NUMBER: 21990751
BUSINESS ADDRESS:
STREET 1: 2500 SAND HILL ROAD, SUITE 300
CITY: MENLO PARK
STATE: CA
ZIP: 94025
BUSINESS PHONE: (650) 289-2460
MAIL ADDRESS:
STREET 1: 2500 SAND HILL ROAD, SUITE 300
CITY: MENLO PARK
STATE: CA
ZIP: 94025
FORMER NAME:
FORMER CONFORMED NAME: ACCEL-KKR STRUCTURED CAPITAL PARTNERS II STRATEGIC FUND, LP
DATE OF NAME CHANGE: 20140313
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Accel-KKR Holdings GP, LLC
CENTRAL INDEX KEY: 0001863465
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40429
FILM NUMBER: 21990754
BUSINESS ADDRESS:
STREET 1: C/O ACCEL-KKR
STREET 2: 2180 SAND HILL ROAD, SUITE 300
CITY: MENLO PARK
STATE: CA
ZIP: 94025
BUSINESS PHONE: (650) 289-2460
MAIL ADDRESS:
STREET 1: C/O ACCEL-KKR
STREET 2: 2180 SAND HILL ROAD, SUITE 300
CITY: MENLO PARK
STATE: CA
ZIP: 94025
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: ACCEL-KKR CAPITAL PARTNERS CV III, LP
CENTRAL INDEX KEY: 0001781975
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40429
FILM NUMBER: 21990753
BUSINESS ADDRESS:
STREET 1: 2500 SAND HILL ROAD, SUITE 300
CITY: MENLO PARK
STATE: CA
ZIP: 94025
BUSINESS PHONE: (650) 289-2460
MAIL ADDRESS:
STREET 1: 2500 SAND HILL ROAD, SUITE 300
CITY: MENLO PARK
STATE: CA
ZIP: 94025
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: ACCEL-KKR GROWTH CAPITAL PARTNERS III, LP
CENTRAL INDEX KEY: 0001747133
STATE OF INCORPORATION: E9
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40429
FILM NUMBER: 21990752
BUSINESS ADDRESS:
STREET 1: 2500 SAND HILL ROAD, SUITE 300
CITY: MENLO PARK
STATE: CA
ZIP: 94025
BUSINESS PHONE: (650) 289-2460
MAIL ADDRESS:
STREET 1: 2500 SAND HILL ROAD, SUITE 300
CITY: MENLO PARK
STATE: CA
ZIP: 94025
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Accel-KKR Members Fund, LLC
CENTRAL INDEX KEY: 0001863461
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40429
FILM NUMBER: 21990749
BUSINESS ADDRESS:
STREET 1: C/O ACCEL-KKR
STREET 2: 2180 SAND HILL ROAD, SUITE 300
CITY: MENLO PARK
STATE: CA
ZIP: 94025
BUSINESS PHONE: (650) 289-2460
MAIL ADDRESS:
STREET 1: C/O ACCEL-KKR
STREET 2: 2180 SAND HILL ROAD, SUITE 300
CITY: MENLO PARK
STATE: CA
ZIP: 94025
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Paymentus Holdings, Inc.
CENTRAL INDEX KEY: 0001841156
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-BUSINESS SERVICES, NEC [7389]
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 18390 NE 68TH ST.
CITY: REDMOND
STATE: WA
ZIP: 98052
BUSINESS PHONE: (888) 440-4826
MAIL ADDRESS:
STREET 1: 18390 NE 68TH ST.
CITY: REDMOND
STATE: WA
ZIP: 98052
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2021-05-28
0
0001841156
Paymentus Holdings, Inc.
PAY
0001863465
Accel-KKR Holdings GP, LLC
C/O ACCEL-KKR
2180 SAND HILL ROAD, SUITE 300
MENLO PARK
CA
94025
0
0
1
0
0001781975
ACCEL-KKR CAPITAL PARTNERS CV III, LP
C/O ACCEL-KKR
2180 SAND HILL ROAD, SUITE 300
MENLO PARK
CA
94025
0
0
1
0
0001747133
ACCEL-KKR GROWTH CAPITAL PARTNERS III, LP
C/O ACCEL-KKR
2180 SAND HILL ROAD, SUITE 300
MENLO PARK
CA
94025
0
0
1
0
0001602533
Accel-KKR Growth Capital Partners II Strategic Fund, LP
C/O ACCEL-KKR
2180 SAND HILL ROAD, SUITE 300
MENLO PARK
CA
94025
0
0
1
0
0001602532
Accel-KKR Growth Capital Partners II, LP
C/O ACCEL-KKR
2180 SAND HILL ROAD, SUITE 300
MENLO PARK
CA
94025
0
0
1
0
0001863461
Accel-KKR Members Fund, LLC
C/O ACCEL-KKR
2180 SAND HILL ROAD, SUITE 300
MENLO PARK
CA
94025
0
0
1
0
0001475179
Palumbo Robert
C/O ACCEL-KKR
2180 SAND HILL ROAD, SUITE 300
MENLO PARK
CA
94025
1
0
1
0
0001474980
Barnds Thomas
C/O ACCEL-KKR
2180 SAND HILL ROAD, SUITE 300
MENLO PARK
CA
94025
0
0
1
0
Common Stock
2021-05-28
4
J
0
71863439
D
0
I
Accel-KKR Capital Partners CV III, LP
Common Stock
2021-05-28
4
J
0
3025270
D
0
I
Accel-KKR Growth Capital Partners III, LP
Common Stock
2021-05-28
4
J
0
101395
D
0
I
Accel-KKR Growth Capital Partners II Strategic Fund, LP
Common Stock
2021-05-28
4
J
0
1195150
D
0
I
Accel-KKR Growth Capital Partners II, LP
Common Stock
2021-05-28
4
J
0
5635005
D
0
I
Accel-KKR Members Fund, LLC
Class A Common Stock
2021-05-28
4
C
0
2245886
A
2245886
I
Accel-KKR Capital Partners CV III, LP
Class A Common Stock
2021-05-28
4
C
0
94546
A
94546
I
Accel-KKR Growth Capital Partners III, LP
Class A Common Stock
2021-05-28
4
C
0
37350
A
37350
I
Accel-KKR Growth Capital Partners II, LP
Class A Common Stock
2021-05-28
4
C
0
3168
A
3168
I
Accel-KKR Growth Capital Partners II Strategic Fund, LP
Class B Common Stock
2021-05-28
4
J
0
71863439
0.00
A
Class A Common Stock
71863439
71863439
I
Accel-KKR Capital Partners CV III, LP
Class B Common Stock
2021-05-28
4
J
0
3025270
0.00
A
Class A Common Stock
3025270
3025270
I
Accel-KKR Growth Capital Partners III, LP
Class B Common Stock
2021-05-28
4
J
0
101395
0.00
A
Class A Common Stock
101395
101395
I
Accel-KKR Growth Capital Partners II Strategic Fund, LP
Class B Common Stock
2021-05-28
4
J
0
1195150
0.00
A
Class A Common Stock
1195150
1195150
I
Accel-KKR Growth Capital Partners II, LP
Class B Common Stock
2021-05-28
4
J
0
5635005
0.00
A
Class A Common Stock
5635005
5635005
I
Accel-KKR Members Fund, LLC
Private Placement Shares
2021-05-28
4
C
0
2245886
0.00
D
Class A Common Stock
2245886
0
I
Accel-KKR Capital Partners CV III, LP
Private Placement Shares
2021-05-28
4
C
0
94546
0.00
D
Class A Common Stock
94546
0
I
Accel-KKR Growth Capital Partners III, LP
Private Placement Shares
2021-05-28
4
C
0
37350
0.00
D
Class A Common Stock
37350
0
I
Accel-KKR Growth Capital Partners II, LP
Private Placement Shares
2021-05-28
4
C
0
3168
0.00
D
Class A Common Stock
3168
0
I
Accel-KKR Growth Capital Partners II Strategic Fund, LP
Pursuant to a reclassification exempt under Rule 16b-7, each share of Common Stock was automatically reclassified into one share of Class B Common Stock immediately prior to the completion of the Issuer's initial public offering of Class A Common Stock. Class B Common Stock is convertible at any time, at the holder's election and automatically in connection with certain transfers and upon certain other events, into an equal number of shares of Class A Common Stock and has no expiration date.
Pursuant to an agreement with the Issuer, dated as of May 16, 2021, the Reporting Persons were subject to an obligation to puchase an aggregate of $50,000,000 of Class A Common Stock of the Issuer ("Private Placement Shares") in a private placement that occurred in connection with the closing of the Issuer's initial public offering of Class A Common Stock.
Accel-KKR Holdings GP, LLC , or Topco GP (for which decision making is controlled by Mr. Palumbo and Mr. Barnds), has voting and investment power over the shares of Common Stock of the Issuer owned by (i) Accel-KKR Capital Partners CV III, LP, or CV III; (ii) Accel-KKR Growth Capital Partners III, LP, or GC III; (iii) Accel-KKR Growth Capital Partners II Strategic Fund, LP, or GC II Strategic; (iv) Accel-KKR Growth Capital Partners II, LP, or GC II; and (v) Accel-KKR Members Fund, LLC, or Members Fund.
(Continued from footnote 3) AKKR Fund III Management Company CV, LP, or CV III GP, is the sole general partner of CV III. AKKR Growth Capital Management Company III, LP, or GC III GP, is the sole general partner of GC III. AKKR Growth Capital Management Company II, LP, or GC II GP, is the sole general partner of GC II Strategic and GC II. AKKR Management Company, LLC, or UGP, is the sole managing member of Members Fund and the sole general partner of CV III GP, GC III GP and GC II GP. Topco GP, is the sole managing member of UGP. AKKR Fund II Management Company, LP, or the Management Company, is the sole management company of each of the Accel-KKR Funds, and UGP is the general partner of the Management Company. Each of the Reporting Persons disclaims beneficial ownership of the reported securities except to the extent of such Reporting Person's pecuniary interest therein.
Accel-KKR Holdings GP, LLC, /s/ Thomas C. Barnds, as its authorized signatory
2021-06-02
Accel-KKR Capital Partners CV III, LP, /s/ Thomas C. Barnds, as its authorized signatory
2021-06-02
Accel-KKR Growth Capital Partners III, LP, /s/ Thomas C. Barnds, as its authorized signatory
2021-06-02
Accel-KKR Growth Capital Partners II Strategic Fund, LP, /s/ Thomas C. Barnds, as its authorized signatory
2021-06-02
Accel-KKR Growth Capital Partners II, LP, /s/ Thomas C. Barnds, as its authorized signatory
2021-06-02
Accel-KKR Members Fund, LLC, /s/ Thomas C. Barnds, as its authorized signatory
2021-06-02
/s/ Thomas C. Barnds
2021-06-02
Robert Palumbo, /s/ Thomas C. Barnds, as attorney-in-fact
2021-06-02