SEC Form 4 · accession 0001019687-15-002567
Paysign, Inc. · PAYS
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Christopher Newcomer
Officer — CTO
Period of report
Jun 29, 2015
Accepted (ET)
Jun 30, 2015 · 8:27 am EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001496443
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Jun 29, 2015 | A | 1,000,000 | — | A | 2,000,000 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock GrantF1,F2,F3 | — | Jun 29, 2015 | C | 1,000,000 | D | — | — | Common Stock | 1,000,000 | 0 | D |
Explanation of responses
- F1Not applicable
- F2Not applicable
- F3On August 13, 2012, the company granted Christopher Newcomer One million shares of common stock with a value of $136,000. The stock grant vested in equal amounts over a five year period on the last day of each calendar quarter if Mr. Newcomer still employed by the company at that time. On November 19, 2014, the board of directors waived all vesting requirements relating to the shares, and all unvested shares became fully vested as of December 31, 2014.