0001209191-22-034819.txt : 20220607 0001209191-22-034819.hdr.sgml : 20220607 20220607160659 ACCESSION NUMBER: 0001209191-22-034819 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220606 FILED AS OF DATE: 20220607 DATE AS OF CHANGE: 20220607 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: 221001288 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 2022-06-06 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 2022-06-06 4 A 0 950 0.00 A 19408 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. The RSUs will vest on the earlier of (a) the one year anniversary of the grant date or (b) the date of the next annual meeting of stockholders following the grant date. /s/ Andrew A. Gerber, Attorney-in-Fact 2022-06-07