SEC Form 4 · accession 0001683168-26-005952
Paysign, Inc. · PAYS
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Jeffery Bradford Baker
Officer — Chief Financial Officer
Period of report
Jul 31, 2026
Accepted (ET)
Aug 4, 2026 · 8:00 pm EDT
Rule 10b5-1 plan
box not checked
Issuer CIK
0001496443
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Jul 31, 2026 | M | 64,000 | $0.00 | A | 605,677 | D | |
| Common StockF2 | Jul 31, 2026 | F | 28,506 | $8.96 | D | 577,171 | 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 | — | Jul 31, 2026 | M | 64,000 | D | — | Jul 31, 2027 | Common stock | 64,000 | 64,000 | D |
Explanation of responses
- F1One-fifth of the restricted stock shall vest annually on each anniversary of the July 31, 2022 vesting commencement date until fully vested on July 31, 2027.
- F2Represents shares of common stock withheld by the issuer to satisfy certain tax withholding obligations associated with the vesting of restricted stock.