0000950170-23-052394.txt : 20231006
0000950170-23-052394.hdr.sgml : 20231006
20231006160504
ACCESSION NUMBER: 0000950170-23-052394
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20231004
FILED AS OF DATE: 20231006
DATE AS OF CHANGE: 20231006
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Isaacman Jared
CENTRAL INDEX KEY: 0001805608
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39313
FILM NUMBER: 231314239
MAIL ADDRESS:
STREET 1: C/O SHIFT4 PAYMENTS, INC.
STREET 2: 2202 N. IRVING STREET
CITY: ALLENTOWN
STATE: PA
ZIP: 18109
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Shift4 Payments, Inc.
CENTRAL INDEX KEY: 0001794669
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-BUSINESS SERVICES, NEC [7389]
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 2202 NORTH IRVING STREET
CITY: ALLENTOWN
STATE: PA
ZIP: 18109
BUSINESS PHONE: 888.276.2108 X1220
MAIL ADDRESS:
STREET 1: 2202 NORTH IRVING STREET
CITY: ALLENTOWN
STATE: PA
ZIP: 18109
4
1
ownership.xml
4
X0508
4
2023-10-04
0001794669
Shift4 Payments, Inc.
FOUR
0001805608
Isaacman Jared
2202 N. IRVING ST.
ALLENTOWN
PA
18109
true
true
true
false
Chairman & CEO
false
Class C Common Stock
2023-10-04
4
G
false
47232
0.00
D
1540219
I
See footnote
The transaction reported shows the Reporting Person's charitable gift of 47,232 shares of the Issuer's Class A common stock to St. Luke's Health Network, Inc. d/b/a/ St. Luke's University Health Network (the "Donee") (and the simultaneous cancelation of the same number of shares of the Issuer's Class C Common stock). Per the donation agreement between the Reporting Person and the Donee, the Donee is restricted from any sale of the shares for one year.
Securities held of record by Rook Holdings, Inc. ("Rook"). The Reporting Person, Mr. Isaacman, is the sole stockholder of Rook and therefore may be deemed to have beneficial ownership with respect to such securities.
/s/ Jordan Frankel, Attorney-in-Fact for Jared Isaacman
2023-10-06