0001683168-22-002666.txt : 20220414
0001683168-22-002666.hdr.sgml : 20220414
20220414160048
ACCESSION NUMBER: 0001683168-22-002666
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220413
FILED AS OF DATE: 20220414
DATE AS OF CHANGE: 20220414
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: 22827174
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
2022-04-13
0
0001496443
Paysign, Inc.
PAYS
0001738051
Williams Quinn P
2615 ST. ROSE PARKWAY
HENDERSON
NV
89052
1
0
0
0
Common Stock
2022-04-13
4
A
0
50000
A
200000
D
Stock Grant
2022-04-13
2022-04-13
4
M
0
50000
D
Common Stock
0
D
On April 13, 2018, Mr. Williams received a grant of 200,000 shares of Common Stock, vesting in equal parts over a 4-year period on each anniversary date on which Mr. Williams is still serving as a director.
Not applicable
/s/ Quinn P. Williams
2022-04-14