0001144204-17-051002.txt : 20171002 0001144204-17-051002.hdr.sgml : 20171002 20171002185903 ACCESSION NUMBER: 0001144204-17-051002 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170428 FILED AS OF DATE: 20171002 DATE AS OF CHANGE: 20171002 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: FARO DIANE CENTRAL INDEX KEY: 0001605299 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35170 FILM NUMBER: 171115749 MAIL ADDRESS: STREET 1: 1175 LANCASTER AVENUE STREET 2: SUITE 100 CITY: BERWYN STATE: PA ZIP: 19312 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: JetPay Corp CENTRAL INDEX KEY: 0001507986 STANDARD INDUSTRIAL CLASSIFICATION: BLANK CHECKS [6770] IRS NUMBER: 900632274 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1175 LANCASTER AVE., SUITE 200 CITY: BERWYN STATE: PA ZIP: 19312 BUSINESS PHONE: 6109772482 MAIL ADDRESS: STREET 1: 1175 LANCASTER AVE., SUITE 200 CITY: BERWYN STATE: PA ZIP: 19312 FORMER COMPANY: FORMER CONFORMED NAME: Universal Business Payment Solutions Acquisition Corp DATE OF NAME CHANGE: 20101215 4 1 v476321_4.xml OWNERSHIP DOCUMENT X0306 4 2017-04-28 0 0001507986 JetPay Corp JTPY 0001605299 FARO DIANE 3939 WEST DRIVE CENTER VALLEY PA 18034 1 1 0 0 Chief Executive Officer Common Stock, par value $0.001 per share 2017-04-28 4 A 0 44240 0 A 44740 D /s/ Gregory M. Krzemien, Attorney in Fact 2017-10-02