SEC Form 4 · accession 0001144204-15-063393
PAID INC · PAYD:OTC
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
William Austin Lewis IV
Officer — President/CFO/President · Director
Period of report
Nov 4, 2015
Accepted (ET)
Nov 6, 2015 · 4:38 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001017655
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Nov 4, 2015 | A | 45,000,000 | $0.0017 | A | 45,000,000 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Warrant (Right to Buy)F2 | $0.0017 | Nov 4, 2015 | A | 45,000,000 | A | Nov 4, 2015 | Nov 4, 2020 | Common Stock | 45,000,000 | 45,000,000 | D |
Explanation of responses
- F1Excludes shares held indirectly. Shares are held by the following funds for which W. Austin Lewis, IV is the General Partner: 23,549,960 by Lewis Opportunity Fund, L.P. and 1,612,685 shares by LAM Waiting Game Fund LTD.
- F2Excludes options to purchase 14 million shares at $.003 per share expiring on various dates.