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