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