0001209191-22-036060.txt : 20220610
0001209191-22-036060.hdr.sgml : 20220610
20220610174843
ACCESSION NUMBER: 0001209191-22-036060
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220609
FILED AS OF DATE: 20220610
DATE AS OF CHANGE: 20220610
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Trainor Gary
CENTRAL INDEX KEY: 0001863391
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40429
FILM NUMBER: 221010091
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
2022-06-09
0
0001841156
Paymentus Holdings, Inc.
PAY
0001863391
Trainor Gary
18390 NE 68TH ST.
REDMOND
WA
98052
1
0
0
0
Class A Common Stock
2022-06-09
4
C
0
1189888
0.00
A
1289888
I
See Explanation of Responses
Class A Common Stock
2022-06-09
4
S
0
620000
13.68
D
669888
I
See Explanation of Responses
Stock Option (Right to Buy)
0.03
2022-06-09
4
M
0
1189888
0.00
D
2022-10-10
Class B Common Stock
1189888
0
I
See Explanation of Responses
Class B Common Stock
2022-06-09
4
M
0
1189888
0.00
A
Class A Common Stock
1189888
1189888
I
See Explanation of Responses
Class B Common Stock
2022-06-09
4
C
0
1189888
0.00
D
Class A Common Stock
1189888
0
I
See Explanation of Responses
Represents the conversion of Class B Common Stock into Class A Common Stock held of record by TF Investment Holdings LLC.
Represents shares held directly by TF Investment Holdings LLC. Gary Trainor is the sole manager of TF Investment Holdings LLC and has sole voting and dispositive power with respect to the shares held by TF Investment Holdings LLC.
The shares subject to the option are fully vested and exercisable.
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 Gerber, Attorney-in-Fact
2022-06-10