0001683168-24-005254.txt : 20240802
0001683168-24-005254.hdr.sgml : 20240802
20240802211532
ACCESSION NUMBER: 0001683168-24-005254
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20240731
FILED AS OF DATE: 20240802
DATE AS OF CHANGE: 20240802
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Herman Joan M
CENTRAL INDEX KEY: 0001717123
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38623
FILM NUMBER: 241172907
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]
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
2024-07-31
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
2024-07-31
4
M
0
36000
0.00
A
815597
D
Stock Grant
2024-07-31
4
M
0
36000
0.00
D
2027-07-31
Common stock
36000
108000
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.
/s/ Joan M. Herman
2024-08-02