0001209191-21-014805.txt : 20210226 0001209191-21-014805.hdr.sgml : 20210226 20210226170109 ACCESSION NUMBER: 0001209191-21-014805 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210224 FILED AS OF DATE: 20210226 DATE AS OF CHANGE: 20210226 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Jackson Michael Frank CENTRAL INDEX KEY: 0001782283 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38531 FILM NUMBER: 21690585 MAIL ADDRESS: STREET 1: 3 WEST PACES FERRY ROAD, SUITE 200 CITY: ATLANTA STATE: GA ZIP: 30305 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Repay Holdings Corp CENTRAL INDEX KEY: 0001720592 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-BUSINESS SERVICES, NEC [7389] IRS NUMBER: 000000000 STATE OF INCORPORATION: E9 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 3 WEST PACES FERRY ROAD STREET 2: SUITE 200 CITY: ATLANTA STATE: GA ZIP: 30305 BUSINESS PHONE: (404) 504-7474 MAIL ADDRESS: STREET 1: 3 WEST PACES FERRY ROAD STREET 2: SUITE 200 CITY: ATLANTA STATE: GA ZIP: 30305 FORMER COMPANY: FORMER CONFORMED NAME: Thunder Bridge Acquisition Ltd DATE OF NAME CHANGE: 20171024 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2021-02-24 0 0001720592 Repay Holdings Corp RPAY 0001782283 Jackson Michael Frank C/O REPAY HOLDINGS CORPORATION, 3 WEST PACES FERRY ROAD, SUITE 200 ATLANTA GA 30305 0 1 0 0 Chief Operating Officer Class A Common Stock 2021-02-24 4 A 0 15324 0.00 A 116788 D Class A Common Stock 100806 I See footnote Represents a grant of restricted Class A common stock of the Issuer that vests in four equal annual installments commencing February 24, 2022. These securities are held directly by a limited liability company, of which (a) Reporting Person serves as the sole member of its board of managers and (b) all of the voting ownership interests are owned by Reporting Person (in his capacity as trustee of a revocable trust). The Reporting Person disclaims beneficial ownership of any securities reported herein as indirectly beneficially owned, except to the extent of his pecuniary interest therein. /s/Timothy J. Murphy, as Attorney-in-Fact 2021-02-26