0001209191-22-030488.txt : 20220519
0001209191-22-030488.hdr.sgml : 20220519
20220519160621
ACCESSION NUMBER: 0001209191-22-030488
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220518
FILED AS OF DATE: 20220519
DATE AS OF CHANGE: 20220519
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Portocalis Gerasimos (Jerry)
CENTRAL INDEX KEY: 0001863390
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40429
FILM NUMBER: 22942863
MAIL ADDRESS:
STREET 1: 18390 NE 68TH ST.
CITY: REDMOND
STATE: WA
ZIP: 98052
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
2022-05-18
0
0001841156
Paymentus Holdings, Inc.
PAY
0001863390
Portocalis Gerasimos (Jerry)
18390 NE 68TH ST.
REDMOND
WA
98052
0
1
0
0
Chief Commercial Officer
Class A Common Stock
2022-05-18
4
C
0
26667
0.00
A
397536
D
Stock Option (right to buy)
8.66
2022-05-18
4
M
0
26667
8.66
D
2029-08-27
Class B Common Stock
26667
23333
D
Class B Common Stock
2022-05-18
4
M
0
26667
0.00
A
Class A Common Stock
26667
26667
D
Class B Common Stock
2022-05-18
4
C
0
26667
0.00
D
Class A Common Stock
26667
0
D
Represents the conversion of Class B Common Stock into Class A Common Stock.
One sixtieth (1/60th) of the shares subject to the award vested on September 30, 2019, and one sixtieth (1/60th) of the shares subject to the award vest on the last day of each month thereafter.
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.
/s/ Andrew A. Gerber, Attorney-in-Fact
2022-05-19