0001653558-20-000028.txt : 20200407 0001653558-20-000028.hdr.sgml : 20200407 20200407124104 ACCESSION NUMBER: 0001653558-20-000028 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200406 FILED AS OF DATE: 20200407 DATE AS OF CHANGE: 20200407 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Priority Incentive Equity Holdings, LLC CENTRAL INDEX KEY: 0001747619 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37872 FILM NUMBER: 20779090 BUSINESS ADDRESS: STREET 1: 2001 WESTSIDE PARKWAY STREET 2: SUITE 155 CITY: ALPHARETTA STATE: GA ZIP: 30004 BUSINESS PHONE: 800-935-5961 MAIL ADDRESS: STREET 1: 2001 WESTSIDE PARKWAY STREET 2: SUITE 155 CITY: ALPHARETTA STATE: GA ZIP: 30004 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Priore Thomas Charles CENTRAL INDEX KEY: 0001746475 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37872 FILM NUMBER: 20779091 MAIL ADDRESS: STREET 1: 2001 WESTSIDE PARKWAY, SUITE 155 CITY: ALPHARETTA STATE: GA ZIP: 30004 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Priority Technology Holdings, Inc. CENTRAL INDEX KEY: 0001653558 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-BUSINESS SERVICES, NEC [7389] IRS NUMBER: 474257046 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 2001 WESTSIDE PARKWAY STREET 2: SUITE 155 CITY: ALPHARETTA STATE: GA ZIP: 30004 BUSINESS PHONE: 800-935-5961 MAIL ADDRESS: STREET 1: 2001 WESTSIDE PARKWAY STREET 2: SUITE 155 CITY: ALPHARETTA STATE: GA ZIP: 30004 FORMER COMPANY: FORMER CONFORMED NAME: M I Acquisitions, Inc. DATE OF NAME CHANGE: 20150918 4 1 wf-form4_158627764359225.xml FORM 4 X0306 4 2020-04-06 0 0001653558 Priority Technology Holdings, Inc. PRTH 0001746475 Priore Thomas Charles C/O PRIORITY TECHNOLOGY HOLDINGS, INC. 2001 WESTSIDE PARKWAY, SUITE 155 ALPHARETTA GA 30004 1 1 1 0 President, CEO and Chairman 0001747619 Priority Incentive Equity Holdings, LLC 2001 WESTSIDE PARKWAY SUITE 155 ALPHARETTA GA 30004 0 0 0 1 Beneficial Relationship Common Stock 2020-04-06 4 J 0 620810 0 D 12500000 I see footnote Common Stock 33613250 D On April 6, 2020, Priority Incentive Equity Holdings, LLC made an in-kind distribution of 620,810 shares, without any additional consideration, of common stock of the Issuer to a holder of ownership interest of Priority Incentive Equity Holdings, LLC. Includes 2,500,000 shares of PRTH common stock held by Lori A. Priore, the spouse of Thomas C. Priore, and Bernard H. Smyers, in their capacity as trustees of the Thomas C. Priore Irrevocable Insurance Trust u/a/d 1/8/2010, for the benefit of Lori A. Priore and the children of Thomas C. Priore and Lori A. Priore. Also includes 10,000,000 shares of PRTH common stock held by Lori A. Priore, the spouse of Thomas C. Priore, in her capacity as trustee of the Thomas Priore 2019 GRAT, for the benefit of Lori A. Priore and the children of Thomas C. Priore and Lori A. Priore. /s/ Thomas Priore /s/ Priority Incentive Equity Holdings, LLC, By: Priority Investment Holdings LLC, its Manager, By: /s/ Thomas Priore, its Managing Member 2020-04-07