0001633917-21-000185.txt : 20211123 0001633917-21-000185.hdr.sgml : 20211123 20211123212637 ACCESSION NUMBER: 0001633917-21-000185 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211123 FILED AS OF DATE: 20211123 DATE AS OF CHANGE: 20211123 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: DORMAN DAVID W CENTRAL INDEX KEY: 0001082870 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36859 FILM NUMBER: 211440945 MAIL ADDRESS: STREET 1: CVS HEALTH. STREET 2: ONE CVS DRIVE CITY: WOONSOCKET STATE: RI ZIP: 02895 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: PayPal Holdings, Inc. CENTRAL INDEX KEY: 0001633917 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-BUSINESS SERVICES, NEC [7389] IRS NUMBER: 472989869 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 2211 NORTH FIRST STREET CITY: SAN JOSE STATE: CA ZIP: 95131 BUSINESS PHONE: (408) 967-1000 MAIL ADDRESS: STREET 1: 2211 NORTH FIRST STREET CITY: SAN JOSE STATE: CA ZIP: 95131 4 1 edgardoc.xml PRIMARY DOCUMENT X0306 4 2021-11-23 0 0001633917 PayPal Holdings, Inc. PYPL 0001082870 DORMAN DAVID W C/O PAYPAL HOLDINGS, INC. 2211 NORTH FIRST STREET SAN JOSE CA 95131 1 0 0 0 Common Stock 2021-11-23 4 P 0 495 186.47 A 495 I 2021 Family Trust 1 Common Stock 2021-11-23 4 P 0 605 186.47 A 605 I 2021 Family Trust 2 Common Stock 2021-11-23 4 P 0 150 186.47 A 150 I 2021 Family Trust 3 Common Stock 2021-11-23 4 P 0 72 186.47 A 72 I 2021 Family Trust 4 Common Stock 2021-11-23 4 P 0 225 186.47 A 225 I 2021 Family Trust 5 Common Stock 44890 D By: BRIAN YAMASAKI For: David Wyatt Dorman 2021-11-23