Filing Details
- Accession Number:
- 0001683168-19-003183
- Form Type:
- 4
- Zero Holdings:
- No
- Publication Time:
- 2019-10-04 21:10:04
- Reporting Period:
- 2019-10-02
- Accepted Time:
- 2019-10-04 21:10:04
- SEC Url:
- Form 4 Filing
Issuer
| Cik | Name | Symbol | Sector (SIC) | IRS No |
|---|---|---|---|---|
| 1496443 | Paysign Inc. | PAYS | () | 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 | 2019-10-02 | 1,800 | $1.34 | 1,800 | No | 4 | M | Direct | |
| Common Stock | Disposition | 2019-10-02 | 1,800 | $11.00 | 0 | No | 4 | S | Direct | |
| Common Stock | Acquisiton | 2019-10-03 | 31,674 | $1.34 | 31,674 | No | 4 | M | Direct | |
| Common Stock | Disposition | 2019-10-03 | 31,674 | $11.02 | 0 | No | 4 | S | Direct | |
| Common Stock | Acquisiton | 2019-10-04 | 98,546 | $1.34 | 98,546 | No | 4 | M | Direct | |
| Common Stock | Disposition | 2019-10-04 | 98,546 | $11.53 | 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 | |
| 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 | 2019-10-02 | 1,800 | $0.00 | 1,800 | $1.34 |
| Common Stock | Stock Options | Disposition | 2019-10-03 | 31,674 | $0.00 | 31,674 | $1.34 |
| Common Stock | Stock Options | Disposition | 2019-10-04 | 98,546 | $0.00 | 98,546 | $1.34 |
| Remaning Holdings | Exercise Date | Expiration Date | Equity Swap Involved | Transaction Form Type | Transaction Code | Nature of Ownership |
|---|---|---|---|---|---|---|
| 1,480,020 | No | 4 | M | Direct | ||
| 1,448,546 | No | 4 | M | Direct | ||
| 1,350,000 | No | 4 | M | Direct |
Footnotes
- Transaction was effected pursuant to a Rule 10b5-1 trading plan adopted by the reporting person on August 21, 2019.
- 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.
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