0001683168-23-004671.txt : 20230705
0001683168-23-004671.hdr.sgml : 20230705
20230705203302
ACCESSION NUMBER: 0001683168-23-004671
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230630
FILED AS OF DATE: 20230705
DATE AS OF CHANGE: 20230705
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Lanford Matthew Louis
CENTRAL INDEX KEY: 0001851489
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38623
FILM NUMBER: 231071701
MAIL ADDRESS:
STREET 1: 11859 TAVEMA AVE,
CITY: LAS VEGAS
STATE: NV
ZIP: 89138
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Paysign, Inc.
CENTRAL INDEX KEY: 0001496443
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-BUSINESS SERVICES, NEC [7389]
IRS NUMBER: 954550154
STATE OF INCORPORATION: NV
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 2615 ST. ROSE PARKWAY
CITY: HENDERSON
STATE: NV
ZIP: 89052
BUSINESS PHONE: 702-453-2221
MAIL ADDRESS:
STREET 1: 2615 ST. ROSE PARKWAY
CITY: HENDERSON
STATE: NV
ZIP: 89052
FORMER COMPANY:
FORMER CONFORMED NAME: 3PEA INTERNATIONAL, INC.
DATE OF NAME CHANGE: 20100713
4
1
ownership.xml
X0407
4
2023-06-30
0
0001496443
Paysign, Inc.
PAYS
0001851489
Lanford Matthew Louis
2615 ST. ROSE PARKWAY
HENDERSON
NV
89052
0
1
0
0
COO, President
0
Common Stock
2023-06-30
4
M
0
20000
A
57596
D
Common Stock
2023-07-03
4
S
0
7725
2.389
D
49871
D
On May 31, 2019, the reporting person received a grant of 100,000 shares of common stock vesting annually in equal amounts over a five-year period commencing on June 30, 2020. As of the date of this filing, 80,000 shares of common stock have vested.
These shares of common stock were sold to satisfy certain tax withholding obligation associated with the vesting of restricted stock
/s/ Matthew L. Lanford
2023-07-05