0001209191-21-036576.txt : 20210528
0001209191-21-036576.hdr.sgml : 20210528
20210528170042
ACCESSION NUMBER: 0001209191-21-036576
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210528
FILED AS OF DATE: 20210528
DATE AS OF CHANGE: 20210528
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Morrow John C
CENTRAL INDEX KEY: 0001685087
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40429
FILM NUMBER: 21981377
MAIL ADDRESS:
STREET 1: 11100 NE 8TH ST #600
CITY: BELLEVUE
STATE: WA
ZIP: 98004
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Paymentus Holdings, Inc.
CENTRAL INDEX KEY: 0001841156
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-BUSINESS SERVICES, NEC [7389]
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 18390 NE 68TH ST.
CITY: REDMOND
STATE: WA
ZIP: 98052
BUSINESS PHONE: (888) 440-4826
MAIL ADDRESS:
STREET 1: 18390 NE 68TH ST.
CITY: REDMOND
STATE: WA
ZIP: 98052
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2021-05-28
0
0001841156
Paymentus Holdings, Inc.
PAY
0001685087
Morrow John C
18390 NE 68TH ST.
REDMOND
WA
98052
0
1
0
0
General Counsel and Secretary
Class A Common Stock
2021-05-28
4
P
0
35714
21.00
A
35714
D
Stock Option (Right to Buy)
8.66
2021-05-28
4
J
0
115500
0.00
D
2030-05-13
Common Stock
115500
0
D
Stock Option (Right to Buy)
8.66
2021-05-28
4
J
0
115500
0.00
A
2030-05-13
Class B Common Stock
115500
115500
D
Represents shares acquired pursuant to a directed share program in connection with the Issuer's initial public offering of Class A Common Stock.
Pursuant to a reclassification exempt under Rule 16b-7, each share of Common Stock was automatically reclassified into one share of Class B Common Stock immediately prior to the completion of the Issuer's initial public offering of Class A Common Stock. Class B Common Stock is convertible at any time, at the holder's election and automatically in connection with certain transfers and upon certain other events, into an equal number of shares of Class A Common Stock and has no expiration date.
One fifth (1/5th) of the shares subject to the award shall vest one year after April 16, 2020, or the Vesting Commencement Date, and one sixtieth (1/60th) of the shares subject to the award shall vest each month thereafter on the same day of the month as the Vesting Commencement Date.
/s/ John Morrow
2021-05-28