0001354488-17-000026.txt : 20170104
0001354488-17-000026.hdr.sgml : 20170104
20170104145602
ACCESSION NUMBER: 0001354488-17-000026
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170101
FILED AS OF DATE: 20170104
DATE AS OF CHANGE: 20170104
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: Lisiak Paul
CENTRAL INDEX KEY: 0001569703
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-20660
FILM NUMBER: 17504890
MAIL ADDRESS:
STREET 1: C/O DIRECT INSITE CORP
STREET 2: 500 E BROWARD BOULEVARD, STE 1550
CITY: FT LAUDERDALE
STATE: FL
ZIP: 33394
4
1
issuerdirect_section16.xml
PRIMARY DOCUMENT
X0306
4
2017-01-01
0
0000879703
Paybox Corp.
PBOX
0001569703
Lisiak Paul
C/O PAYBOX CORP
500 E. BROWARD BLVD., SUITE #1550
FT. LAUDERDALE
FL
33394
1
Common Stock, par value $.0001 per share
2017-01-01
4
A
0
55804
0
A
234396
D
Common Stock, par value $.0001 per share
1782703
I
See Footnote
Represents an annual grant of shares of restricted stock as compensation for service as a director of the Issuer.
The shares vest daily over a two-year period. Pursuant to the Director?s 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.
The Reporting Person is a managing director of Metropolitan Venture Partners Corp., which is the general partner of Metropolitan Venture Partners, L.P ("MetVP LP"). The Reporting Person is a member of the board of representatives of Metropolitan GP Holdings, LLC, Series METVP II ("MetGP II") and Metropolitan GP Holdings, LLC, Series MEIH19 ("MetGP"). MetGP II is the general partner of Metropolitan Venture Partners II, L.P. ("MetVP II") and MetGP is the general partner of Metropolitan MEIH19, LP ("MEIH19"). Pursuant to Rule 16a-1(a)(4) under the Exchange Act, this filing shall not be deemed an admission that, for purposes of Section 16 of the Exchange Act or otherwise, the Reporting Person is or was the beneficial owner of the securities owned by any of the aforementioned entities other than to the extent of his pecuniary interest in such shares.
Includes 1,568,492 shares owned by MetVP II and 214,211 shares owned by MEIH19. See explanatory note (3).
/s/ Lowell Rush, attorney-in-fact
2017-01-04