0001179110-21-000337.txt : 20210106 0001179110-21-000337.hdr.sgml : 20210106 20210106170409 ACCESSION NUMBER: 0001179110-21-000337 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20201231 FILED AS OF DATE: 20210106 DATE AS OF CHANGE: 20210106 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: KELLY JAMES G CENTRAL INDEX KEY: 0001226014 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38504 FILM NUMBER: 21511515 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: EVO Payments, Inc. CENTRAL INDEX KEY: 0001704596 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-BUSINESS SERVICES, NEC [7389] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: TEN GLENLAKE PARKWAY STREET 2: SOUTH TOWER, SUITE 950 CITY: ATLANTA STATE: GA ZIP: 30328 BUSINESS PHONE: 5164799000 MAIL ADDRESS: STREET 1: TEN GLENLAKE PARKWAY STREET 2: SOUTH TOWER, SUITE 950 CITY: ATLANTA STATE: GA ZIP: 30328 5 1 edgar.xml FORM 5 - X0306 5 2020-12-31 0 0 0 0001704596 EVO Payments, Inc. EVOP 0001226014 KELLY JAMES G 10 GLENLAKE PARKWAY SOUTH TOWER, SUITE 950 ATLANTA GA 30328 1 1 0 0 CEO Class C Common Stock 2020-12-31 5 G 0 220873 0 D 181083 D Class C Common Stock 2020-12-31 5 G 0 220873 0 A 908535 I By James G. Kelly Grantor Trust Units of EVO Investco, LLC 2020-12-31 5 G 0 220873 0 D Class A Common Stock 220873 181083 D Units of EVO Investco, LLC 2020-12-31 5 G 0 220873 0 A Class A Common Stock 220873 908535 I By James G. Kelly Grantor Trust Represents a gift of securities made by the reporting person on December 31, 2020 to the James G. Kelly Grantor Trust, the beneficiaries of which are immediate family members of the reporting person. Units of EVO Payments, LLC represent limited liability company units of EVO Payments, LLC and an equal number of shares of Class C common stock of EVO Payments, Inc. (the "Issuer"), which together are exchangeable on a one-for-one basis for shares of Class A common stock of the Issuer pursuant to an exchange agreement between the Issuer and certain of the reporting persons. /s/ Steven J. de Groot, attorney-in-fact 2021-01-06