Form 4 for PAYS Paysign, Inc.

Accepted 2021-07-02 00:00:00 ET · period of report 2021-06-30 · accession 0001683168-21-002828 · 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	Lanford Matthew Louis	COO, Pres	M - OptEx	—	+20.0K	31.7K	+170%	—
D	2021-07-02	2021-06-30	PAYS	Lanford Matthew Louis	COO, Pres	M - OptEx	—	-20.0K	60.0K	-25%	—

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	20,000	—	31,742	D	—	—	(F1) On May 31, 2019, the reporting person received a grant of 100,000 shares of common stock vesting annually in equal amounts over a five-year period commencing on June 30, 2020 if employed by the company at that time. As of the date of this filing, 40,000 shares of common stock have vested and been issued.
2	Derivative	Stock Grant	2021-06-30	M	D	20,000	—	60,000	D	— · — to —	20,000 Common Stock	(F1) On May 31, 2019, the reporting person received a grant of 100,000 shares of common stock vesting annually in equal amounts over a five-year period commencing on June 30, 2020 if employed by the company at that time. As of the date of this filing, 40,000 shares of common stock have vested and been issued.