Filing Details

Accession Number:
0001683168-19-003047
Form Type:
4
Zero Holdings:
No
Publication Time:
2019-09-25 17:54:49
Reporting Period:
2019-09-23
Accepted Time:
2019-09-25 17:54:49
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1496443 Paysign Inc. TPNL () 4
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1253706 R Daniel Henry 1700 W. Horizon Ridge Pkwy, #200
Henderson NV 89012
Yes No No No
Reported Non-Derivative Transactions
Sec. Name Acquisiton - Disposition Date Amount Price Remaning Holdings Equity Swap Involved Form Type Code Nature of Ownership Explanation
Common Stock Acquisiton 2019-09-23 14,308 $1.34 14,308 No 4 M Direct
Common Stock Disposition 2019-09-23 14,308 $11.01 0 No 4 S Direct
Common Stock Acquisiton 2019-09-24 1,100 $1.34 1,100 No 4 M Direct
Common Stock Disposition 2019-09-24 1,100 $11.03 0 No 4 S Direct
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 M Direct
No 4 S Direct
No 4 M Direct
No 4 S Direct
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Common Stock Stock Options Disposition 2019-09-23 14,308 $0.00 14,308 $1.34
Common Stock Stock Options Disposition 2019-09-24 1,100 $0.00 1,100 $1.34
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
1,483,120 No 4 M Direct
1,482,020 No 4 M Direct
Footnotes
  1. Transaction was effected pursuant to a Rule 10b5-1 trading plan adopted by the reporting person on August 21, 2019.
  2. On 5/3/18 received an option to purchase 1,500,000 shares of Common Stock for 5 years at $1.34, vesting in equal parts over a 4-year period annually during his service as a Director of the Paysign Board of Directors.