0001851489-21-000003.txt : 20210322 0001851489-21-000003.hdr.sgml : 20210322 20210322135725 ACCESSION NUMBER: 0001851489-21-000003 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210222 FILED AS OF DATE: 20210322 DATE AS OF CHANGE: 20210322 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Lanford Matthew Louis CENTRAL INDEX KEY: 0001851489 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38623 FILM NUMBER: 21760899 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] 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 3 1 primary_doc.xml PRIMARY DOCUMENT X0206 3 2021-02-22 0 0001496443 Paysign, Inc. PAYS 0001851489 Lanford Matthew Louis 11859 TAVEMA AVE, LAS VEGAS NV 89138 0 1 0 0 Chief Operating Officer Stock Grant Common Stock 100000 D Upon employment, the Company granted Matthew Lanford five equal tranches of twenty thousand restricted common shares each valued at $195,200, which vest annually in equal amounts over a five year period commencing on June 30, 2020, if Matthew Lanford is still employed at each vesting date. N/A Matthew Lanford 2021-03-22