0001683168-23-003822.txt : 20230601
0001683168-23-003822.hdr.sgml : 20230601
20230601200104
ACCESSION NUMBER: 0001683168-23-003822
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230601
FILED AS OF DATE: 20230601
DATE AS OF CHANGE: 20230601
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: HENRY DANIEL R
CENTRAL INDEX KEY: 0001253706
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38623
FILM NUMBER: 23986329
MAIL ADDRESS:
STREET 1: 13160 BIRCH
CITY: OVERLAND PARK
STATE: KS
ZIP: 66211
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
2023-06-01
0
0001496443
Paysign, Inc.
PAYS
0001253706
HENRY DANIEL R
2615 ST. ROSE PARKWAY
HENDERSON
NV
89052
1
0
0
0
0
Common Stock
2023-06-01
2023-06-01
4
A
0
50000
2.5175
A
50000
D
/s/ Daniel R. Henry
2023-06-01