0001683168-21-001201.txt : 20210401
0001683168-21-001201.hdr.sgml : 20210401
20210401205127
ACCESSION NUMBER: 0001683168-21-001201
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210331
FILED AS OF DATE: 20210401
DATE AS OF CHANGE: 20210401
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Newcomer Mark
CENTRAL INDEX KEY: 0001506415
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38623
FILM NUMBER: 21800294
MAIL ADDRESS:
STREET 1: 1700 W HORIZON RIDGE PARKWAY STE 2
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
2021-03-31
0
0001496443
Paysign, Inc.
PAYS
0001506415
Newcomer Mark
2615 ST. ROSE PARKWAY
HENDERSON
NV
89052
1
1
1
0
CEO
Common Stock
2021-03-31
2021-03-31
4
A
0
100000
A
9278018
D
Stock Grant
2021-03-31
2021-03-31
4
C
0
100000
D
Common Stock
300000
D
On 11/11/16 received grant of 2 million shares of Common Stock vesting in equal amounts over a 5 year period on the last day of each quarter if employed by company at that time. As of the date of this filing, 1.7 million shares have vested.
Not applicable.
/s/ Mark Newcomer
2021-04-01