0000950170-24-134290.txt : 20241206 0000950170-24-134290.hdr.sgml : 20241206 20241206201121 ACCESSION NUMBER: 0000950170-24-134290 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20241205 FILED AS OF DATE: 20241206 DATE AS OF CHANGE: 20241206 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Palumbo Robert CENTRAL INDEX KEY: 0001475179 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40429 FILM NUMBER: 241533577 MAIL ADDRESS: STREET 1: C/O ACCEL-KKR CAPITAL PARTNERS III, LP STREET 2: 2500 SAND HILLS ROAD, STE. 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] ORGANIZATION NAME: 07 Trade & Services 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 2024-12-05 0001841156 Paymentus Holdings, Inc. PAY 0001475179 Palumbo Robert C/O ACCEL-KKR 2180 SAND HILL ROAD, SUITE 300 MENLO PARK CA 94025 true false true false false Class B Common Stock 2024-12-05 4 J false 7422692 0 D Class A Common Stock 7422692 56518054 I Accel-KKR Capital Partners CV III, LP Class B Common Stock 2024-12-05 4 J false 577308 0 D Class A Common Stock 577308 4441502 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 813057 813057 I AKKR Strategic Capital LP Class B Common Stock Class A Common Stock 182033 182033 I AKKR SC GPI HoldCo LP Class B Common Stock Class A Common Stock 1949832 1949832 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. Shares received in a pro rata distribution from funds affiliated with Accel-KKR. 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; (v) Accel-KKR Members Fund, LLC, or Members Fund; (vi) AKKR Strategic Capital LP, or SC; and (vii) AKKR SC GPI HoldCo LP, or SC GPI. 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 II (Continued from footnote 3) AKKR Growth Capital Management Company II, LP, or GC II GP, is the sole general partner of GC II Strategic and GC II. AKKR Strategic Capital GP, or SC GP, is the sole general partner of SC. 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, GC II GP, SC GP and SC GPI. 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. Barnds have separately filed Form 4s reporting their interests. Includes 542,000 shares received from CV III in the distribution described in footnote 2. Such shares were previously reported as indirectly owned through CVIII. Includes 121,515 shares received from CV III in the distribution described in footnote 2. Such shares were previously reported as indirectly owned through CVIII. Includes 925,329 shares of Class B Common Stock received in distributions described in footnote 2. Such shares were previously reported as indirectly owned through the entities effecting such distributions. /s/ Robert Palumbo, /s/ Thomas C. Barnds, as attorney-in-fact 2024-12-06