0000950170-23-065270.txt : 20231120
0000950170-23-065270.hdr.sgml : 20231120
20231120213012
ACCESSION NUMBER: 0000950170-23-065270
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20231120
FILED AS OF DATE: 20231120
DATE AS OF CHANGE: 20231120
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Barnds Thomas
CENTRAL INDEX KEY: 0001474980
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40429
FILM NUMBER: 231424331
MAIL ADDRESS:
STREET 1: C/O ACCEL-KKR CAPITAL PARTNERS III, LP
STREET 2: 2500 SAND HILL ROAD, SUITE 300
CITY: MENLO PARK
STATE: CA
ZIP: 94025
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: 11605 N. COMMUNITY HOUSE ROAD
STREET 2: SUITE 300
CITY: CHARLOTTE
STATE: NC
ZIP: 28277
BUSINESS PHONE: (888) 440-4826
MAIL ADDRESS:
STREET 1: 11605 N. COMMUNITY HOUSE ROAD
STREET 2: SUITE 300
CITY: CHARLOTTE
STATE: NC
ZIP: 28277
4
1
ownership.xml
4
X0508
4
2023-11-20
0001841156
Paymentus Holdings, Inc.
PAY
0001474980
Barnds Thomas
C/O ACCEL-KKR
2180 SAND HILL ROAD, SUITE 300
MENLO PARK
CA
94025
true
false
true
false
false
Class B Common Stock
2023-11-20
4
J
false
500000
0.00
D
Class A Common Stock
500000
71363439
I
Accel-KKR Capital Partners CV III, LP
Class B Common Stock
2023-11-20
4
J
false
38888
0.00
D
Class A Common Stock
38888
5596117
I
Accel-KKR Members Fund, LLC
Class B Common Stock
Class A Common Stock
3025270
3025270
I
Accel-KKR Growth Capital Partners III, LP
Class B Common Stock
Class A Common Stock
101395
101395
I
Accel-KKR Growth Capital Partners II Strategic Fund, LP
Class B Common Stock
Class A Common Stock
1195150
1195150
I
Accel-KKR Growth Capital Partners II, LP
Class B Common Stock
Class A Common Stock
49564
49564
D
Class B Common Stock is convertible at any time, at the holder's election and automatically in connection with certain transfers and upon certain other events, into an equal number of shares of Class A Common Stock and has no expiration date.
In-kind pro rata distribution from the holding entity to its partners, without consideration.
Accel-KKR Holdings GP, LLC , or Topco GP (for which decision making is controlled by Mr. Palumbo and Mr. Barnds), has voting and investment power over the shares of Common Stock of the Issuer owned by (i) Accel-KKR Capital Partners CV III, LP, or CV III; (ii) Accel-KKR Growth Capital Partners III, LP, or GC III; (iii) Accel-KKR Growth Capital Partners II Strategic Fund, LP, or GC II Strategic; (iv) Accel-KKR Growth Capital Partners II, LP, or GC II; and (v) Accel-KKR Members Fund, LLC, or Members Fund.
(Continued from footnote 3) AKKR Fund III Management Company CV, LP, or CV III GP, is the sole general partner of CV III. AKKR Growth Capital Management Company III, LP, or GC III GP, is the sole general partner of GC III. AKKR Growth Capital Management Company II, LP, or GC II GP, is the sole general partner of GC II Strategic and GC II. AKKR Management Company, LLC, or UGP, is the sole managing member of Members Fund and the sole general partner of CV III GP, GC III GP and GC II GP. Topco GP, is the sole managing member of UGP. AKKR Fund II Management Company, LP, or the Management Company, is the sole management company of each of the Accel-KKR Funds, and UGP is the general partner of the Management Company. Each of the Reporting Persons disclaims beneficial ownership of the reported securities except to the extent of such Reporting Person's pecuniary interest therein. Each of the foregoing entities and Mr. Palumbo have separately filed Form 4s reporting their interests.
Shares of Class B Common Stock received in distributions described in footnote 2. Such shares were previously reported as indirectly owned by the Reporting Persons.
/s/ Thomas C. Barnds
2023-11-20