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Filing Details

Accession Number:: 0001213900-21-017413
Form Type:: 4
Zero Holdings:: No
Publication Time:: 2021-03-24 09:16:49
Reporting Period:: 2021-03-22

Accepted Time:: 2021-03-24 09:16:49
SEC Url:: Form 4 Filing

Issuer

Cik	Name	Symbol	Sector (SIC)	IRS No
1819881	Paya Holdings Inc.	PAYA	()	DE

Insiders

Cik	Name	Reported Address	Director	Officer	Large Shareholder	Other
1591435	Gtcr Fund Xi/B Lp	300 North Lasalle Street Suite 5600 Chicago IL 60654	No	No	Yes	No
1591436	Gtcr Fund Xi/C Lp	300 North Lasalle Street Suite 5600 Chicago IL 60654	No	No	Yes	No
1827959	Gtcr Partners Xi/B Lp	300 North Lasalle Street Suite 5600 Chicago IL 60654	No	No	Yes	No
1827977	Gtcr Investment Xi Llc	300 North Lasalle Street Suite 5600 Chicago IL 60654	Yes	No	Yes	No
1828028	Gtcr Partners Xi/A&C Lp	300 North Lasalle Street Suite 5600 Chicago IL 60654	No	No	Yes	No

Reported Non-Derivative Transactions

Show Other Fields >>

Sec. Name	Acquisiton - Disposition	Date	Amount	Price	Remaning Holdings	Equity Swap Involved	Form Type	Code	Nature of Ownership	Explanation
Common Stock	Disposition	2021-03-22	10,000,000	$0.00	45,234,022	No	4	S	Indirect	See footnote

Equity Swap Involved	Form Type	Code	Nature of Ownership	Explanation
No	4	S	Indirect	See footnote

Footnotes

Represents common stock of Paya Holdings Inc. (the "Issuer") sold by GTCR-Ultra Holdings, LLC ("Ultra") pursuant to the offering of Issuer common stock on Form S-1 as contemplated by that certain underwriting agreement, dated March 17, 2021, among the Issuer, Ultra and the underwriters named therein. The selling price of such shares was $11.72937 per share, which represents the price to public less the underwriting discount.
Voting and dispositive power with respect to the shares of common stock held by Ultra is exercised by GTCR Investment XI LLC ("Investment XI"). Voting and dispositive power with respect to the shares of common stock held by Fund XI/B is exercised by its general partner, GTCR Partners XI/B LP ("Partners XI/B"). Voting and dispositive power with respect to the shares of common stock held by Fund XI/C is exercised by its general partner, GTCR Partners XI/A&C LP ("Partners XI/A&C"). Investment XI is the general partner of each of Co-Invest, Partners XI/B and Partners XI/A&C. GTCR Investment XI LLC is managed by an eight-member board of managers (the "GTCR Board of Managers") (Continued in Footnote 3).
Each of the foregoing entities and the individual members of the GTCR Board of Managers disclaims beneficial ownership of the shares reported hereby, except to the extent of their pecuniary interest therein, and this report shall not be deemed an admission that the reporting person is the beneficial owner of the securities for purposes of Section 16 or for any other purpose.