0001683168-23-003566.txt : 20230519 0001683168-23-003566.hdr.sgml : 20230519 20230519175719 ACCESSION NUMBER: 0001683168-23-003566 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230517 FILED AS OF DATE: 20230519 DATE AS OF CHANGE: 20230519 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Mina Bruce A CENTRAL INDEX KEY: 0001736843 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38623 FILM NUMBER: 23941787 MAIL ADDRESS: STREET 1: 1700 W. HORIZON RIDGE PKWY, #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 X0407 4 2023-05-17 0 0001496443 Paysign, Inc. PAYS 0001736843 Mina Bruce A 2615 ST. ROSE PARKWAY HENDERSON NV 89012 1 0 0 0 0 Common Stock 2023-05-17 4 A 0 3000 3.38 A 208500 D /s/ Bruce A. Mina 2023-05-19