SEC Form 4 · accession 0001019687-15-002569
Paysign, Inc. · PAYS
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Daniel Spence
Officer — CIO · Director · 10% Owner
Period of report
Jun 29, 2015
Accepted (ET)
Jun 30, 2015 · 8:28 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 | 7,510,000 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock GrantF3,F2 | — | 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 Daniel Spence 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. Spence is still employed by the company at that time. On December 31, 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.