0001683168-19-003393.txt : 20191030
0001683168-19-003393.hdr.sgml : 20191030
20191030092255
ACCESSION NUMBER: 0001683168-19-003393
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20191028
FILED AS OF DATE: 20191030
DATE AS OF CHANGE: 20191030
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Williams Quinn P
CENTRAL INDEX KEY: 0001738051
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38623
FILM NUMBER: 191178020
MAIL ADDRESS:
STREET 1: 2375 E. CAMELBACK ROAD, STE. 700
CITY: PHOENIX
STATE: AZ
ZIP: 85016
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
2019-10-28
0
0001496443
Paysign, Inc.
PAYS
0001738051
Williams Quinn P
1700 W. HORIZON RIDGE PARKWAY, STE 200
HENDERSON
NV
89012
1
0
0
0
Common Stock
2019-10-28
2019-10-28
4
S
0
15000
10.94
D
35000
D
Stock Grant
Common Stock
150000
D
Transaction was effected pursuant to a Rule 10b5-1 trading plan adopted by the reporting person on September 27, 2019.
On 04/13/18 received grant of 200,000 shares of Common Stock vesting in equal amounts over a 4 year period on anniversary date if serving in the Director capacity at that time. As of the date of this filing, 50,000 shares granted have vested and been issued.
/s/ Quinn P. Williams
2019-10-30