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