0001213900-22-013672.txt : 20220318
0001213900-22-013672.hdr.sgml : 20220318
20220318192543
ACCESSION NUMBER: 0001213900-22-013672
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220316
FILED AS OF DATE: 20220318
DATE AS OF CHANGE: 20220318
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: DOSTER MELINDA
CENTRAL INDEX KEY: 0001855008
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39627
FILM NUMBER: 22753899
MAIL ADDRESS:
STREET 1: 303 PERIMETER CENTER NORTH, SUITE 600
CITY: ATLANTA
STATE: GA
ZIP: 30346
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Paya Holdings Inc.
CENTRAL INDEX KEY: 0001819881
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-BUSINESS SERVICES, NEC [7389]
IRS NUMBER: 852199433
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 303 PERIMETER CENTER NORTH
STREET 2: SUITE 600
CITY: ATLANTA
STATE: GA
ZIP: 30346
BUSINESS PHONE: (800) 261-0240
MAIL ADDRESS:
STREET 1: 303 PERIMETER CENTER NORTH
STREET 2: SUITE 600
CITY: ATLANTA
STATE: GA
ZIP: 30346
FORMER COMPANY:
FORMER CONFORMED NAME: FINTECH ACQUISITION CORP III PARENT CORP
DATE OF NAME CHANGE: 20200731
4
1
ownership.xml
X0306
4
2022-03-16
0
0001819881
Paya Holdings Inc.
PAYA
0001855008
DOSTER MELINDA
303 PERIMETER CENTER NORTH
SUITE 600
ATLANTA
GA
30346
0
1
0
0
GENERAL COUNSEL
Common Stock
2022-03-16
4
A
0
18677
0.00
A
54051
D
Option (Right to Buy)
5.12
2022-03-16
4
A
0
56031
0.00
A
2032-03-16
Common Stock
56031
56031
D
Consists of restricted stock units which vest in three equal annual installments on March 16, 2023, March 16, 2024 and March 16, 2025.
The option vests and becomes exercisable in five equal annual installments on March 16, 2023, March 16, 2024, March 16, 2025, March 16, 2026 and March 16, 2027.
/s/ Glenn Renzulli, by Power of Attorney
2022-03-18