0001683168-21-002827.txt : 20210702
0001683168-21-002827.hdr.sgml : 20210702
20210702202437
ACCESSION NUMBER: 0001683168-21-002827
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210630
FILED AS OF DATE: 20210702
DATE AS OF CHANGE: 20210702
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Spence Daniel
CENTRAL INDEX KEY: 0001506497
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38623
FILM NUMBER: 211072229
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
2021-06-30
0
0001496443
Paysign, Inc.
PAYS
0001506497
Spence Daniel
2615 ST. ROSE PARKWAY
HENDERSON
NV
89052
1
1
1
0
EVP
Common Stock
2021-06-30
4
M
0
100000
A
9290000
D
Stock Grant
2021-06-30
4
M
0
100000
D
Common Stock
100000
100000
D
On 11/11/16, the reporting person received a 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 the company at that time. As of the date of this filing, 1.9 million shares have vested and been issued.
/s/ Daniel Spence
2021-07-02