0001683168-20-003677.txt : 20201103 0001683168-20-003677.hdr.sgml : 20201103 20201103181709 ACCESSION NUMBER: 0001683168-20-003677 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200323 FILED AS OF DATE: 20201103 DATE AS OF CHANGE: 20201103 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: 201284643 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: 2615 ST. ROSE PARKWAY CITY: HENDERSON STATE: NV ZIP: 89052 BUSINESS PHONE: 702-453-2221 MAIL ADDRESS: STREET 1: 2615 ST. ROSE PARKWAY CITY: HENDERSON STATE: NV ZIP: 89052 FORMER COMPANY: FORMER CONFORMED NAME: 3PEA INTERNATIONAL, INC. DATE OF NAME CHANGE: 20100713 4 1 ownership.xml X0306 4 2020-03-23 0 0001496443 Paysign, Inc. PAYS 0001758549 Strobo Robert 2615 ST. ROSE PKWY HENDERSON NV 89052 0 1 0 0 Chief Legal Officer Stock Options 3.87 2020-03-23 4 A 0 50000 A Common Stock 50000 50000 D On 3/23/20 received an option to purchase 50,000 shares of Common Stock for 10 years at $3.87, vesting in equal parts over a 4-year period annually during his service as an employee. /s/ Robert Strobo 2020-11-03