0001683168-16-000904.txt : 20161209 0001683168-16-000904.hdr.sgml : 20161209 20161209172332 ACCESSION NUMBER: 0001683168-16-000904 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161209 FILED AS OF DATE: 20161209 DATE AS OF CHANGE: 20161209 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: 3PEA INTERNATIONAL, INC. CENTRAL INDEX KEY: 0001496443 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-BUSINESS SERVICES, NEC [7389] IRS NUMBER: 954550154 STATE OF INCORPORATION: NV FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1700 W HORIZON RIDGE PARKWAY STREET 2: SUITE 200 CITY: HENDERSON STATE: NV ZIP: 89012 BUSINESS PHONE: 702-453-2221 MAIL ADDRESS: STREET 1: 1700 W HORIZON RIDGE PARKWAY STREET 2: SUITE 200 CITY: HENDERSON STATE: NV ZIP: 89012 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Polan Brian CENTRAL INDEX KEY: 0001689541 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-54123 FILM NUMBER: 162044822 MAIL ADDRESS: STREET 1: 1700 W. HORIZON RIDGE PARKWAY STREET 2: SUITE 201 CITY: HENDERSON STATE: NV ZIP: 89012 4 1 polan_f4-120916.xml FORM 4 X0306 4 2016-12-09 0 0001496443 3PEA INTERNATIONAL, INC. TPNL 0001689541 Polan Brian 1700 W. HORIZON RIDGE PKWY, SUITE 201 HENDERSON NV 89102 0 1 0 0 Chief Financial Officer Common Stock 2016-12-09 4 P 0 10000 .33 A 36250 D Common Stock 2016-12-09 4 P 0 1250 .3266 A 37500 D Common Stock 2016-12-09 4 P 0 2500 .33 A 40000 D /s/ Brian Polan 2016-12-09