0000899243-22-027862.txt : 20220805 0000899243-22-027862.hdr.sgml : 20220805 20220805175423 ACCESSION NUMBER: 0000899243-22-027862 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220805 FILED AS OF DATE: 20220805 DATE AS OF CHANGE: 20220805 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Disman Nancy CENTRAL INDEX KEY: 0001621493 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39313 FILM NUMBER: 221141920 MAIL ADDRESS: STREET 1: 57 ROUND TREE DRIVE CITY: MELVILLE STATE: NY ZIP: 11747 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Shift4 Payments, Inc. CENTRAL INDEX KEY: 0001794669 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-BUSINESS SERVICES, NEC [7389] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 2202 NORTH IRVING STREET CITY: ALLENTOWN STATE: PA ZIP: 18109 BUSINESS PHONE: 888.276.2108 X1220 MAIL ADDRESS: STREET 1: 2202 NORTH IRVING STREET CITY: ALLENTOWN STATE: PA ZIP: 18109 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2022-08-05 0 0001794669 Shift4 Payments, Inc. FOUR 0001621493 Disman Nancy 2202 N. IRVING ST ALLENTOWN PA 18109 1 0 0 0 Class A Common Stock 2022-08-05 4 A 0 169233 0.00 A 177633 D Represents an award of restricted stock units, which will vest (i) as to 50% in two equal annual installments on each of the first two anniversaries of the grant date, and (ii) as to 50% in three equal installments on each of the first three anniversaries of the grant date, in each case subject to continued service by the Reporting Person through the applicable vesting dates. /s/ Jordan Frankel, Attorney-in-Fact for Nancy Disman 2022-08-05