0001209191-22-024746.txt : 20220419 0001209191-22-024746.hdr.sgml : 20220419 20220419160411 ACCESSION NUMBER: 0001209191-22-024746 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220418 FILED AS OF DATE: 20220419 DATE AS OF CHANGE: 20220419 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: DAVIDS JODY R CENTRAL INDEX KEY: 0001236439 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40429 FILM NUMBER: 22834985 MAIL ADDRESS: STREET 1: C/O PREMIER INC. STREET 2: 13034 BALLANTYNE CORPORATE PLACE CITY: CHARLOTTE STATE: NC ZIP: 28277 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Paymentus Holdings, Inc. CENTRAL INDEX KEY: 0001841156 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-BUSINESS SERVICES, NEC [7389] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 18390 NE 68TH ST. CITY: REDMOND STATE: WA ZIP: 98052 BUSINESS PHONE: (888) 440-4826 MAIL ADDRESS: STREET 1: 18390 NE 68TH ST. CITY: REDMOND STATE: WA ZIP: 98052 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2022-04-18 0 0001841156 Paymentus Holdings, Inc. PAY 0001236439 DAVIDS JODY R 18390 NE 68TH ST. REDMOND WA 98052 1 0 0 0 Class A Common Stock 2022-04-18 4 A 0 18458 0.00 A 18458 D Represents an equal number of restricted stock units ("RSUs") granted pursuant to the Issuer's 2021 Equity Incentive Plan. Each RSU represents the right to receive a share of the Issuer's Class A common stock on the date it vests, subject to continued service of the reporting person through the applicable vesting date. One-third of the RSUs will vest each of the first, second and third anniversaries of the grant date. Any vesting date that is scheduled to occur on a day that is not a trading day shall be deemed to occur on the next trading day. /s/ Andrew A. Gerber, Attorney-in-Fact 2022-04-19