0001209191-23-020319.txt : 20230321
0001209191-23-020319.hdr.sgml : 20230321
20230321170014
ACCESSION NUMBER: 0001209191-23-020319
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230319
FILED AS OF DATE: 20230321
DATE AS OF CHANGE: 20230321
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Morris John Andrew Sr.
CENTRAL INDEX KEY: 0001782423
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38531
FILM NUMBER: 23750326
MAIL ADDRESS:
STREET 1: 3 WEST PACES FERRY ROAD, SUITE 200
CITY: ATLANTA
STATE: GA
ZIP: 30305
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Repay Holdings Corp
CENTRAL INDEX KEY: 0001720592
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-BUSINESS SERVICES, NEC [7389]
IRS NUMBER: 000000000
STATE OF INCORPORATION: E9
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 3 WEST PACES FERRY ROAD
STREET 2: SUITE 200
CITY: ATLANTA
STATE: GA
ZIP: 30305
BUSINESS PHONE: (404) 504-7474
MAIL ADDRESS:
STREET 1: 3 WEST PACES FERRY ROAD
STREET 2: SUITE 200
CITY: ATLANTA
STATE: GA
ZIP: 30305
FORMER COMPANY:
FORMER CONFORMED NAME: Thunder Bridge Acquisition Ltd
DATE OF NAME CHANGE: 20171024
4
1
doc4.xml
FORM 4 SUBMISSION
X0407
4
2023-03-19
0
0001720592
Repay Holdings Corp
RPAY
0001782423
Morris John Andrew Sr.
3 WEST PACES FERRY ROAD
SUITE 200
ATLANTA
GA
30305
1
1
0
0
Chief Executive Officer
0
Class A Common Stock
2023-03-19
4
A
0
530179
0.00
A
1567653
D
Class A Common Stock
90000
I
See footnote
Class A Common Stock
15000
I
See footnote
Represents a grant of restricted Class A common stock of the Issuer that vests in four equal annual installments commencing March 19, 2024.
These securities are held directly by a limited liability company, of which Reporting Person owns all of the voting ownership interests and serves as the sole member of its board of managers.
These securities are held directly by a corporation, of which a revocable trust (for which Reporting Person serves as the sole trustee) owns all of the voting shares and Reporting Person serves as the sole member of its board of directors.
The Reporting Person disclaims beneficial ownership of any securities reported herein as indirectly beneficially owned, except to the extent of his pecuniary interest therein.
/s/Timothy J. Murphy, as Attorney-in-Fact
2023-03-21