0001654954-17-006171.txt : 20170705 0001654954-17-006171.hdr.sgml : 20170705 20170705152455 ACCESSION NUMBER: 0001654954-17-006171 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170630 FILED AS OF DATE: 20170705 DATE AS OF CHANGE: 20170705 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: 17947632 MAIL ADDRESS: STREET 1: 4001 TAMIAMI TRAIL NORTH STREET 2: SUITE 350 CITY: NAPLES STATE: FL ZIP: 34103 4 1 section16.xml FORM 4 X0306 4 2017-06-30 0000879703 Paybox Corp. PBOX 0001403526 Lund Thomas C C/O PAYBOX CORP 500 E. BROWARD BLVD., SUITE 1550 FT. LAUDERDALE FL 33394 true false false false Common Stock, par value $.0001 per share 2017-06-30 4 A false 56.53 0 A 1656.26 D Common Stock, par value $.0001 per share 11152 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. Reflects the reverse stock split effectuated by the Issuer on May 3, 2017, pursuant to which every 200 shares of common stock, $0.0001 par value per share, of the Issuer, which were issued and outstanding immediately prior to the reverse stock split, were combined into one issued and outstanding share of the Issuer's common stock. The number also reflects a 50% reduction, as of May 3, 2017, in the stock grants issued to the Reporting Person by the Issuer on January 1, 2017 and 2016, respectively, which vest daily over a two-year period and which 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 8,203 shares held in trust under Trust Agreement dated 9/16/94, Thomas C. Lund Trustee for the benefit of Thomas C. Lund and 2,949 shares held by spouse, and which reflects the reverse stock split effectuated by the Issuer on May 3, 2017, pursuant to which every 200 shares of common stock, $0.0001 par value per share, of the Issuer, which were issued and outstanding immediately prior to the reverse stock split, were combined into one issued and outstanding share of the Issuer's common stock. /s/ Matthew E. Oakes, attorney in fact 2017-07-05