0001354488-16-008345.txt : 20161004 0001354488-16-008345.hdr.sgml : 20161004 20161004123707 ACCESSION NUMBER: 0001354488-16-008345 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160930 FILED AS OF DATE: 20161004 DATE AS OF CHANGE: 20161004 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Paybox Corp. CENTRAL INDEX KEY: 0000879703 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER INTEGRATED SYSTEMS DESIGN [7373] IRS NUMBER: 112895590 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 500 EAST BROWARD BOULEVARD STREET 2: SUITE 1550 CITY: FORT LAUDERDALE STATE: FL ZIP: 33323 BUSINESS PHONE: 631-873-2900 MAIL ADDRESS: STREET 1: 500 EAST BROWARD BOULEVARD STREET 2: SUITE 1550 CITY: FORT LAUDERDALE STATE: FL ZIP: 33323 FORMER COMPANY: FORMER CONFORMED NAME: DIRECT INSITE CORP DATE OF NAME CHANGE: 20010323 FORMER COMPANY: FORMER CONFORMED NAME: COMPUTER CONCEPTS CORP /DE DATE OF NAME CHANGE: 19930328 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Lund Thomas C CENTRAL INDEX KEY: 0001403526 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-20660 FILM NUMBER: 161917860 MAIL ADDRESS: STREET 1: 4001 TAMIAMI TRAIL NORTH STREET 2: SUITE 350 CITY: NAPLES STATE: FL ZIP: 34103 4 1 issuerdirect_section16.xml PRIMARY DOCUMENT X0306 4 2016-09-30 0 0000879703 Paybox Corp. DIRI 0001403526 Lund Thomas C C/O PAYBOX CORP 500 E. BROWARD BLVD., SUITE 1550 FT. LAUDERDALE FL 33394 1 Common Stock, par value $.0001 per share 2016-09-30 4 A 0 5787 0 A 279033 D Common Stock, par value $.0001 per share 2230334 I See Footnote Represents shares of common stock that the Reporting Person elected to receive in lieu of cash director fees. Pursuant to the Directors? Deferred Compensation Plan of the Issuer, the Reporting Person has elected to defer receipt of the shares until January 15th of the year following his termination of service as director Includes 1,640,601 shares held in trust under Trust Agreement dated 9/16/94, Thomas C. Lund Trustee for the benefit of Thomas C. Lund and 589,733 shares held by spouse. /s/ Lowell Rush, attorney in fact 2016-10-04