0000899243-23-015459.txt : 20230613
0000899243-23-015459.hdr.sgml : 20230613
20230613163908
ACCESSION NUMBER: 0000899243-23-015459
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230609
FILED AS OF DATE: 20230613
DATE AS OF CHANGE: 20230613
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Davis Karen Roter
CENTRAL INDEX KEY: 0001878982
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39313
FILM NUMBER: 231011725
MAIL ADDRESS:
STREET 1: C/O SHIFT4 PAYMENTS, INC.
STREET 2: 2202 N. IRVING ST
CITY: ALLENTOWN
STATE: PA
ZIP: 18109
FORMER NAME:
FORMER CONFORMED NAME: David Karen Roter
DATE OF NAME CHANGE: 20210817
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
X0407
4
2023-06-09
0
0001794669
Shift4 Payments, Inc.
FOUR
0001878982
Davis Karen Roter
2202 N. IRVING ST.
ALLENTOWN
PA
18109
1
0
0
0
0
Class A Common Stock
2023-06-09
4
A
0
2997
0.00
A
6592
D
Represents an award of restricted stock units, which vest in full on the one year anniversary of the grant date.
/s/ Jordan Frankel, Attorney-in-Fact for Karen Roter Davis
2023-06-13