0001171843-16-013805.txt : 20161229 0001171843-16-013805.hdr.sgml : 20161229 20161229182325 ACCESSION NUMBER: 0001171843-16-013805 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161227 FILED AS OF DATE: 20161229 DATE AS OF CHANGE: 20161229 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 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: 001-15093 FILM NUMBER: 162075992 MAIL ADDRESS: STREET 1: 12500 SAN PEDRO STREET 2: SUITE 120 CITY: SAN ANTONIO STATE: TX ZIP: 78216 4 1 formfour.xml OWNERSHIP DOCUMENT X0306 4 2016-12-27 0 0001088034 PAYMENT DATA SYSTEMS INC PYDS 0001089352 LONG MICHAEL R 12500 SAN PEDRO, STE 120 SAN ANTONIO TX 78216 1 0 1 0 Common Stock 2016-12-27 4 D 0 76269 1.75 D 2517251 D The issuer repurchased the shares at the closing price on December 27, 2016 to cover payroll taxes due. /s/ Michael R. Long 2016-12-29