0001683168-21-001471.txt : 20210419 0001683168-21-001471.hdr.sgml : 20210419 20210419172817 ACCESSION NUMBER: 0001683168-21-001471 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210419 FILED AS OF DATE: 20210419 DATE AS OF CHANGE: 20210419 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Williams Quinn P CENTRAL INDEX KEY: 0001738051 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38623 FILM NUMBER: 21835559 MAIL ADDRESS: STREET 1: 2375 E. CAMELBACK ROAD, STE. 700 CITY: PHOENIX STATE: AZ ZIP: 85016 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 2021-04-19 0 0001496443 Paysign, Inc. PAYS 0001738051 Williams Quinn P 2615 SAINT ROSE PARKWAY HENDERSON NV 89052 1 0 0 0 Common Stock 2021-04-19 2021-04-19 4 A 0 50000 A 135000 D Stock Grant 2021-04-19 2021-04-19 4 C 0 50000 D Common Stock 135000 D On April 13, 2018 received 200,000 shares of Common Stock, vesting in equal parts over a 4-year period on each anniversary date in which Director is still serving in his/ her capacity. Not applicable /s/ Quinn P. Williams 2021-04-19