0001683168-23-005226.txt : 20230803 0001683168-23-005226.hdr.sgml : 20230803 20230803060011 ACCESSION NUMBER: 0001683168-23-005226 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230731 FILED AS OF DATE: 20230803 DATE AS OF CHANGE: 20230803 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Newcomer Mark CENTRAL INDEX KEY: 0001506415 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38623 FILM NUMBER: 231137825 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 X0508 4 2023-07-31 0 0001496443 Paysign, Inc. PAYS 0001506415 Newcomer Mark 2615 ST. ROSE PARKWAY HENDERSON NV 89052 1 1 1 0 CEO 0 Common Stock 2023-07-31 4 M 0 150000 0.00 A 9531202 D Common Stock 2023-08-01 4 S 0 20303 1.8836 D 9510899 D Common Stock 2023-08-02 4 S 0 17793 1.8151 D 9493106 D Stock Grant 2023-07-31 4 M 0 150000 0.00 D 2027-07-31 Common stock 150000 600000 D One-fifth of the restricted stock shall vest annually on each anniversary of the July 31, 2022 vesting commencement date until fully vested on July 31, 2027. These shares of common stock were sold to satisfy certain tax withholding obligations associated with the vesting of restricted stock. The price reported in column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $1.85 to $1.97, 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. The price reported in column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $1.79 to $1.87, inclusive. The reporting person undertakes to provide to the Company, any security holder of the Company, or the staff of the SEC, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this footnote. /s/ Mark Newcomer 2023-08-02