0001683168-23-007600.txt : 20231102 0001683168-23-007600.hdr.sgml : 20231102 20231102174416 ACCESSION NUMBER: 0001683168-23-007600 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20231031 FILED AS OF DATE: 20231102 DATE AS OF CHANGE: 20231102 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Strobo Robert CENTRAL INDEX KEY: 0001758549 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38623 FILM NUMBER: 231373815 MAIL ADDRESS: STREET 1: 1700 W. HORIZON RIDGE PARKWAY STREET 2: SUITE 200 CITY: HENDERSON STATE: NV ZIP: 89012 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 X0508 4 2023-10-31 0 0001496443 Paysign, Inc. PAYS 0001758549 Strobo Robert 2615 ST. ROSE PARKWAY HENDERSON NV 89052 0 1 0 0 Chief Legal Officer 0 Common Stock 2023-10-31 4 M 0 40000 0.00 A 192210 D Common Stock 2023-11-01 4 S 0 16709 1.75 D 175501 D Stock Grant 2023-10-31 4 M 0 40000 0.00 D 2023-10-31 Common Stock 40000 0 D One-fifth of the restricted stock shall vest annually on each anniversary of the October 31, 2019 vesting commencement date until fully vested on October 31, 2023. These shares of common stock were sold to satisfy certain tax withholding obligations associated with the vesting of restricted stock. The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $1.74 to $1.79, inclusive. The reporting person undertakes to provide to Paysign, Inc. (the "Company"), any security holder of the Company, or the staff of the Securities and Exchange Commission (the "SEC"), upon request, full information regarding the number of shares sold at each separate price within the range set forth in this footnote. /s/ Robert Strobo 2023-11-02