0000950170-23-065681.txt : 20231121 0000950170-23-065681.hdr.sgml : 20231121 20231121210007 ACCESSION NUMBER: 0000950170-23-065681 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20231120 FILED AS OF DATE: 20231121 DATE AS OF CHANGE: 20231121 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Malinowski Adam CENTRAL INDEX KEY: 0001863377 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40429 FILM NUMBER: 231429757 MAIL ADDRESS: STREET 1: C/O ACCEL-KKR STREET 2: 2180 SAND HILL ROAD, SUITE 300 CITY: MENLO PARK STATE: CA ZIP: 94025 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: 11605 N. COMMUNITY HOUSE ROAD STREET 2: SUITE 300 CITY: CHARLOTTE STATE: NC ZIP: 28277 BUSINESS PHONE: (888) 440-4826 MAIL ADDRESS: STREET 1: 11605 N. COMMUNITY HOUSE ROAD STREET 2: SUITE 300 CITY: CHARLOTTE STATE: NC ZIP: 28277 4 1 ownership.xml 4 X0508 4 2023-11-20 0001841156 Paymentus Holdings, Inc. PAY 0001863377 Malinowski Adam C/O ACCEL-KKR 2180 SAND HILL ROAD, SUITE 300 MENLO PARK CA 94025 true false false false false Class B Common Stock 2023-11-20 5 J false 1563 0.00 A Class A Common Stock 1563 1563 D 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. Shares received in a pro rata distribution from funds affiliated with Accel-KKR. The acquisition of such shares was exempt pursuant to Rule 16a-9(a) under the Securities Exchange Act of 1934, as amended. /s/ Thomas C. Barnds, as Attorney-in-Fact for Adam Malinowski 2023-11-21