Form 4 for PAYS Paysign, Inc.

Accepted 2021-07-02 00:00:00 ET · period of report 2021-06-30 · accession 0001683168-21-002827 · SEC index · Original document

Summary rows

Aggregated the way they appear in lists: one row per insider, transaction code and security table.

X	Filed	Traded	Ticker	Insider	Title	Type	Price	Qty	Owned	ΔOwn	Value
D	2021-07-02	2021-06-30	PAYS	Spence Daniel	EVP, Dir, 10%	M - OptEx	—	+100.0K	9.29M	+1%	—
D	2021-07-02	2021-06-30	PAYS	Spence Daniel	EVP, Dir, 10%	M - OptEx	—	-100.0K	100.0K	-50%	—

Purchase Sale Sale after option exercise All abbreviations

#	Table	Security	Date	Code	A/D	Shares	Price	Owned after	Own	Exercise / expiry	Underlying	Footnotes
1	Common	Common Stock	2021-06-30	M	A	100,000	—	9,290,000	D	—	—	(F1) On 11/11/16, the reporting person received a grant of 2 million shares of Common Stock vesting in equal amounts over a 5 year period on the last day of each quarter if employed by the company at that time. As of the date of this filing, 1.9 million shares have vested and been issued.
2	Derivative	Stock Grant	2021-06-30	M	D	100,000	—	100,000	D	— · — to —	100,000 Common Stock	(F1) On 11/11/16, the reporting person received a grant of 2 million shares of Common Stock vesting in equal amounts over a 5 year period on the last day of each quarter if employed by the company at that time. As of the date of this filing, 1.9 million shares have vested and been issued.