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