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