0001683168-20-003681.txt : 20201104 0001683168-20-003681.hdr.sgml : 20201104 20201104100327 ACCESSION NUMBER: 0001683168-20-003681 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20201030 FILED AS OF DATE: 20201104 DATE AS OF CHANGE: 20201104 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Attinger Mark Kenneth CENTRAL INDEX KEY: 0001742593 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38623 FILM NUMBER: 201285484 MAIL ADDRESS: STREET 1: 34522 N.SCOTTSDALE ROAD, SUITE 120-492 CITY: SCOTTSDALE STATE: AZ ZIP: 85266 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 2020-10-30 0 0001496443 Paysign, Inc. PAYS 0001742593 Attinger Mark Kenneth 2615 ST. ROSE PKWY HENDERSON NV 89052 0 1 0 0 CFO Common Stock 2020-10-30 2020-10-30 4 A 0 90000 A 142843 D Common Stock 2020-11-02 2020-11-02 4 F 0 36759 4.8384 D 106084 D Stock Grant 2020-10-30 2020-10-30 4 C 0 90000 D Common Stock 270000 D Stock Options 3.87 Common Stock 100000 D 100% of sale proceeds delivered to company for employee tax withholdings. On 10/29/18 received grant of 450,000 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. On 3/23/20 received an option to purchase 100,000 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/ Mark Attinger 2020-11-04