Form 4/A for PAYS Paysign, Inc.

Accepted 2022-04-20 00:00:00 ET · period of report 2022-04-13 · accession 0001683168-22-002840 · 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
DA	2022-04-20	2022-04-13	PAYS	Williams Quinn P	Dir	A - Grant	—	+50.0K	185.0K	+37%	—
DA	2022-04-20	2022-04-13	PAYS	Williams Quinn P	Dir	M - OptEx	—	-50.0K	0	-100%	—

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	2022-04-13	A	A	50,000	—	185,000	D	—	—	(F1) On April 13, 2018, Mr. Williams received a grant of 200,000 shares of Common Stock, vesting in equal parts over a 4-year period on each anniversary date on which Mr. Williams is still serving as a director.
2	Derivative	Stock Grant	2022-04-13	M	D	50,000	—	0	D	— · — to —	— Common Stock	(F1) On April 13, 2018, Mr. Williams received a grant of 200,000 shares of Common Stock, vesting in equal parts over a 4-year period on each anniversary date on which Mr. Williams is still serving as a director. (F2) Not applicable