0001683168-23-005227.txt : 20230803
0001683168-23-005227.hdr.sgml : 20230803
20230803060012
ACCESSION NUMBER: 0001683168-23-005227
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: Herman Joan M
CENTRAL INDEX KEY: 0001717123
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38623
FILM NUMBER: 231137826
MAIL ADDRESS:
STREET 1: 1700 W. HORIZON RIDGE PARKWAY #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
X0508
4
2023-07-31
0
0001496443
Paysign, Inc.
PAYS
0001717123
Herman Joan M
2615 ST. ROSE PARKWAY
HENDERSON
NV
89052
1
1
0
0
EVP, Operations
0
Common Stock
2023-07-31
4
M
0
36000
0.00
A
793668
D
Common Stock
2023-08-01
4
S
0
4555
1.8836
D
789113
D
Common Stock
2023-08-02
4
S
0
3992
1.8151
D
785121
D
Stock Grant
2023-07-31
4
M
0
36000
0.00
D
2027-07-31
Common stock
36000
144000
D
On July 26, 2022, the reporting person received a grant of 180,000 shares of common stock vesting annually in equal amounts over a five-year period commencing on July 31, 2023. As of the date of this filing, 36,000 shares of common stock have vested and been issued.
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/ Joan M. Herman
2023-08-02