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