0000899243-22-001352.txt : 20220107 0000899243-22-001352.hdr.sgml : 20220107 20220107160546 ACCESSION NUMBER: 0000899243-22-001352 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211227 FILED AS OF DATE: 20220107 DATE AS OF CHANGE: 20220107 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Isaacman Donald CENTRAL INDEX KEY: 0001805579 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39313 FILM NUMBER: 22518188 MAIL ADDRESS: STREET 1: C/O SHIFT4 PAYMENTS, INC. STREET 2: 2202 N. IRVING STREET CITY: ALLENTOWN STATE: PA ZIP: 18109 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 2021-12-27 0 0001794669 Shift4 Payments, Inc. FOUR 0001805579 Isaacman Donald 2202 N. IRVING ST ALLENTOWN PA 18109 1 0 0 0 Class A Common Stock 2021-12-27 4 G 0 8592 0.00 A 14444 D /s/ Jordan Frankel, Attorney-in-Fact for Donald Isaacman 2022-01-07