0001089352-12-000001.txt : 20121009 0001089352-12-000001.hdr.sgml : 20121008 20121009121523 ACCESSION NUMBER: 0001089352-12-000001 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20121009 FILED AS OF DATE: 20121009 DATE AS OF CHANGE: 20121009 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: LONG MICHAEL R CENTRAL INDEX KEY: 0001089352 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-30152 FILM NUMBER: 121134427 MAIL ADDRESS: STREET 1: 12500 SAN PEDRO STREET 2: SUITE 120 CITY: SAN ANTONIO STATE: TX ZIP: 78216 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: PAYMENT DATA SYSTEMS INC CENTRAL INDEX KEY: 0001088034 STANDARD INDUSTRIAL CLASSIFICATION: FUNCTIONS RELATED TO DEPOSITORY BANKING, NEC [6099] IRS NUMBER: 980190072 STATE OF INCORPORATION: NV FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 12500 SAN PEDRO STREET 2: SUITE 120 CITY: SAN ANTONIO STATE: TX ZIP: 78216 BUSINESS PHONE: 2102494100 MAIL ADDRESS: STREET 1: 12500 SAN PEDRO STREET 2: STE 120 CITY: SAN ANTONIO STATE: TX ZIP: 78216 FORMER COMPANY: FORMER CONFORMED NAME: BILLSERV INC DATE OF NAME CHANGE: 20011219 FORMER COMPANY: FORMER CONFORMED NAME: BILLSERV COM INC DATE OF NAME CHANGE: 19990607 4 1 primary_doc.xml PRIMARY DOCUMENT X0306 4 2012-10-09 0 0001088034 PAYMENT DATA SYSTEMS INC PYDS 0001089352 LONG MICHAEL R 12500 SAN PEDRO SUITE 120 SAN ANTONIO TX 78216 1 1 1 0 Chairman, CEO, CFO Common Stock 2012-10-04 4 A 0 1000000 0.11 A 34728628 D Vest 10/04/2022 Michael R. Long 2012-10-09