0001683168-19-003184.txt : 20191004 0001683168-19-003184.hdr.sgml : 20191004 20191004211054 ACCESSION NUMBER: 0001683168-19-003184 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20191002 FILED AS OF DATE: 20191004 DATE AS OF CHANGE: 20191004 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Spence Daniel CENTRAL INDEX KEY: 0001506497 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38623 FILM NUMBER: 191139534 MAIL ADDRESS: STREET 1: 1700 W HORIZON RIDGE PARKWAY STE 2 CITY: HENDERSON STATE: NV ZIP: 89012 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Paysign, 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 FORMER COMPANY: FORMER CONFORMED NAME: 3PEA INTERNATIONAL, INC. DATE OF NAME CHANGE: 20100713 4 1 ownership.xml X0306 4 2019-10-02 0 0001496443 Paysign, Inc. PAYS 0001506497 Spence Daniel 1700 W. HORIZON RIDGE PARKWAY, STE 200 HENDERSON NV 89012 1 1 1 0 Chief Technology Officer Common Stock 2019-10-02 2019-10-02 4 S 0 1600 11.00 D 8684619 D Common Stock 2019-10-03 2019-10-03 4 S 0 49981 11.02 D 8634638 D Common Stock 2019-10-04 2019-10-04 4 S 0 44638 11.40 D 8590000 D Stock Grant Common Stock 800000 D Transaction was effected pursuant to a Rule 10b5-1 trading plan adopted by the reporting person on August 16, 2019. On 11/11/16 received grant of 2 million shares of Common Stock vesting in equal amounts over a 5 year period on the last day of each quarter if employed by company at that time. As of the date of this filing, 1.1 million shares granted have vested and been issued. /s/ Daniel Spence 2019-10-04