0001683168-24-004621.txt : 20240702 0001683168-24-004621.hdr.sgml : 20240702 20240702182052 ACCESSION NUMBER: 0001683168-24-004621 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240630 FILED AS OF DATE: 20240702 DATE AS OF CHANGE: 20240702 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Lanford Matthew Louis CENTRAL INDEX KEY: 0001851489 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38623 FILM NUMBER: 241097546 MAIL ADDRESS: STREET 1: 11859 TAVEMA AVE, CITY: LAS VEGAS STATE: NV ZIP: 89138 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 2024-06-30 0 0001496443 Paysign, Inc. PAYS 0001851489 Lanford Matthew Louis 2615 ST. ROSE PARKWAY HENDERSON NV 89052 1 1 0 0 Chief Payments Officer 0 Common Stock 2024-06-30 4 M 0 20000 0.00 A 108469 D Common Stock 2024-07-01 4 S 0 8038 4.03 D 100431 D Stock Grant 2024-06-30 4 M 0 20000 0.00 D 2024-06-30 Common Stock 20000 0 D On May 31, 2019, the reporting person received a grant of 100,000 shares of common stock vesting annually in equal amounts over a five-year period commencing on June 30, 2020. As of the date of this filing, 100,000 shares of common stock have vested. 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 $3.95 to $4.06, 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. /s/ Matthew Lanford 2024-07-02