SEC Form 4 · accession 0001019687-15-002571
Paysign, Inc. · PAYS
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Anthony E Deprima
Officer — Secretary · Director
Period of report
Jun 29, 2015
Accepted (ET)
Jun 30, 2015 · 8:31 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 | 500,000 | — | A | 2,745,163 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Common StockF3,F2 | — | Jun 29, 2015 | C | 500,000 | D | — | — | Common Stock | 500,000 | 0 | D |
Explanation of responses
- F1Not applicable
- F2Not applicable
- F3On August 13, 2012, the company granted Anthony E. De Prima five hundred thousand shares of common stock with a value of $68,000. The stock grant vested in equal amounts over a five year period on the last day of each calendar quarter if Mr. DePrima still served as a director at that time. The board of directors waived all vesting requirements relating to the shares, and all unvested shares became fully vested as of December 31, 2014.