0001683168-21-001844.txt : 20210510
0001683168-21-001844.hdr.sgml : 20210510
20210510125440
ACCESSION NUMBER: 0001683168-21-001844
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210222
FILED AS OF DATE: 20210510
DATE AS OF CHANGE: 20210510
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Baker Jeffery Bradford
CENTRAL INDEX KEY: 0001851465
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38623
FILM NUMBER: 21906024
MAIL ADDRESS:
STREET 1: 3101 HOWELL MILL RD.
STREET 2: UNIT 223
CITY: ATLANTA
STATE: GA
ZIP: 3
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
3
1
ownership.xml
X0206
3
2021-02-22
0
0001496443
Paysign, Inc.
PAYS
0001851465
Baker Jeffery Bradford
2615 ST. ROSE PKWY
HENDERSON
NV
89052
0
1
0
0
CFO
Stock Grant
Common Stock
300000
D
Not Applicable
Upon employment, the Company granted Jeffery Baker five equal tranches of sixty thousand restricted common shares each valued at $285,600, which vest annually in equal amounts over a five year period commencing on February 28, 2022, if Jeffery Baker is still employed by the Company at each vesting date.
/s/ Jeff Baker
2021-05-06