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