0001706146-19-000001.txt : 20190123 0001706146-19-000001.hdr.sgml : 20190123 20190123154253 ACCESSION NUMBER: 0001706146-19-000001 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180501 FILED AS OF DATE: 20190123 DATE AS OF CHANGE: 20190123 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Rollins Brad CENTRAL INDEX KEY: 0001706146 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-15093 FILM NUMBER: 19537374 MAIL ADDRESS: STREET 1: 12500 SAN PEDRO, 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 2018-05-01 0 0001088034 PAYMENT DATA SYSTEMS INC PYDS 0001706146 Rollins Brad 12500 SAN PEDRO, SUITE 120 SAN ANTONIO TX 78216 1 0 0 0 Common Stock 2018-05-01 4 C 0 22223 1.63 A 22223 D The reporting person received these shares of common stock due to conversion of restricted stock units granted to him May 5, 2017 and vested May 1, 2018 for services on the issuer's board of directors. Brad Rollins 2019-01-23