0001683168-19-003473.txt : 20191107 0001683168-19-003473.hdr.sgml : 20191107 20191107073231 ACCESSION NUMBER: 0001683168-19-003473 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20191031 FILED AS OF DATE: 20191107 DATE AS OF CHANGE: 20191107 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Strobo Robert CENTRAL INDEX KEY: 0001758549 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38623 FILM NUMBER: 191198156 MAIL ADDRESS: STREET 1: 1700 W. HORIZON RIDGE PARKWAY STREET 2: SUITE 200 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 2019-10-31 0 0001496443 Paysign, Inc. PAYS 0001758549 Strobo Robert 1700 W. HORIZON RIDGE PARKWAY, STE 200 HENDERSON NV 89012 1 1 1 0 CLO Common Stock 2019-10-31 2019-10-31 4 A 0 40000 A 40000 D Common Stock 2019-11-04 2019-11-04 4 F 0 16309 10.08 D 23691 D Stock Grant 2019-10-31 2019-10-31 4 C 0 40000 D Common Stock 160000 D 100% of sale proceeds delivered to company for employee tax withholdings. On 10/22/18 received grant of 200,000 shares of Common Stock vesting in equal amounts over a 5 year period on the last day of October if employed by company at that time. Not applicable. /s/ Robert Strobo 2019-11-07