SEC Form 4 · accession 0001683168-16-000774
Paysign, Inc. · PAYS
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Brian Polan
Officer — Chief Financial Officer
Period of report
Nov 22, 2016
Accepted (ET)
Nov 22, 2016 · 4:49 pm EST
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 Stock | Nov 22, 2016 | P | 250 | $0.29 | A | 16,250 | D | |
| Common Stock | Nov 22, 2016 | P | 4,000 | $0.36 | A | 20,250 | D |
Table II — derivative securities
No Table II lines on this filing.