0001683168-22-007231.txt : 20221102
0001683168-22-007231.hdr.sgml : 20221102
20221102194439
ACCESSION NUMBER: 0001683168-22-007231
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20221031
FILED AS OF DATE: 20221102
DATE AS OF CHANGE: 20221102
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Strobo Robert
CENTRAL INDEX KEY: 0001758549
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38623
FILM NUMBER: 221355734
MAIL ADDRESS:
STREET 1: 1700 W. HORIZON RIDGE PARKWAY
STREET 2: SUITE 200
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
2022-10-31
0
0001496443
Paysign, Inc.
PAYS
0001758549
Strobo Robert
2615 ST. ROSE PARKWAY
HENDERSON
NV
89052
0
1
0
0
Chief Legal Officer
Common Stock
2022-10-31
4
M
0
40000
2.45
A
130052
D
Common Stock
2022-11-02
4
S
0
16201
2.363
D
113851
D
Stock Grant
2022-10-31
4
M
0
40000
A
Common Stock
40000
D
On October 22, 2018, the reporting person received a grant of 200,000 shares of common stock vesting annually in equal amounts over a five-year period commencing on October 31, 2019. As of the date of this filing, 160,000 shares of common stock have vested and been issued.
The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $2.31 to $2.40, inclusive. The reporting person undertakes to provide to Paysign, Inc. (the "Company"), any security holder of the Company, or the staff of the Securities and Exchange Commission (the "SEC"), upon request, full information regarding the number of shares sold at each separate price within the range set forth in this footnote.
These shares of common stock were sold to satisfy certain tax withholding obligations associated with the vesting of restricted stock.
/s/ Robert Strobo
2022-11-02