0001683168-24-005305.txt : 20240806
0001683168-24-005305.hdr.sgml : 20240806
20240806211532
ACCESSION NUMBER: 0001683168-24-005305
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20240805
FILED AS OF DATE: 20240806
DATE AS OF CHANGE: 20240806
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: 241181165
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
2024-08-05
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
2024-08-05
2024-08-05
4
S
0
34032
4.5407
D
187065
D
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 $4.1801 to $5.0401, 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/ Jeffery B. Baker
2024-08-06