0001683168-24-001260.txt : 20240304
0001683168-24-001260.hdr.sgml : 20240304
20240304075122
ACCESSION NUMBER: 0001683168-24-001260
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20240228
FILED AS OF DATE: 20240304
DATE AS OF CHANGE: 20240304
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Baker Jeffery Bradford
CENTRAL INDEX KEY: 0001851465
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38623
FILM NUMBER: 24712871
MAIL ADDRESS:
STREET 1: 3101 HOWELL MILL RD.
STREET 2: UNIT 223
CITY: ATLANTA
STATE: GA
ZIP: 3
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Paysign, Inc.
CENTRAL INDEX KEY: 0001496443
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-BUSINESS SERVICES, NEC [7389]
ORGANIZATION NAME: 07 Trade & Services
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
2024-02-28
0
0001496443
Paysign, Inc.
PAYS
0001851465
Baker Jeffery Bradford
2615 ST. ROSE PKWY
HENDERSON
NV
89052
0
1
0
0
Chief Financial Officer
0
Common Stock
2024-02-28
4
M
0
60000
0.00
A
184788
D
Stock Grant
2024-02-28
4
M
0
60000
0.00
D
2026-02-28
Common Stock
60000
120000
D
One-fifth of the restricted stock shall vest annually on each anniversary of the February 28, 2021 vesting commencement date until fully vested on February 28, 2026.
/s/ Jeffery Baker
2024-03-01