0001683168-21-001199.txt : 20210401
0001683168-21-001199.hdr.sgml : 20210401
20210401204841
ACCESSION NUMBER: 0001683168-21-001199
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210330
FILED AS OF DATE: 20210401
DATE AS OF CHANGE: 20210401
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: 21800275
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
2021-03-30
0
0001496443
Paysign, Inc.
PAYS
0001742593
Attinger Mark Kenneth
2615 ST. ROSE PKWY
HENDERSON
NV
89052
0
0
0
1
Former Officer
Common Stock
2021-03-30
2021-03-30
4
S
0
80000
4.1210
D
26084
D
Stock Grant
2021-03-31
2021-03-31
4
J
0
180000
D
Common Stock
90000
D
Stock Options
3.87
2021-03-31
2021-03-31
4
J
0
75000
D
Common Stock
25000
D
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.
J - the cancellation of unvested shares and options at the end of employment.
/s/ Mark Attinger
2021-04-01