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