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