Form 4 for PAYS Paysign, Inc.
Accepted 2023-08-03 00:00:00 ET · period of report 2023-07-31 · accession 0001683168-23-005227 · 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 | 2023-08-03 | 2023-07-31 | PAYS | Herman Joan M | EVP, Ops, Dir | M - OptEx | $0.00 | +36.0K | 793.7K | +5% | $0 |
| DM | 2023-08-03 | 2023-08-01+ | PAYS | Herman Joan M | EVP, Ops, Dir | S - Sale+OE | $1.85 | -8,547 | 785.1K | -1% | -$15.8K |
| D | 2023-08-03 | 2023-07-31 | PAYS | Herman Joan M | EVP, Ops, Dir | M - OptEx | $0.00 | -36.0K | 144.0K | -20% | $0 |
Purchase Sale Sale after option exercise All abbreviations
Every reported transaction
| # | Table | Security | Date | Code | A/D | Shares | Price | Owned after | Own | Exercise / expiry | Underlying | Footnotes |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 | Common | Common Stock | 2023-07-31 | M | A | 36,000 | $0.00 | 793,668 | D | — | — | (F1) On July 26, 2022, the reporting person received a grant of 180,000 shares of common stock vesting annually in equal amounts over a five-year period commencing on July 31, 2023. As of the date of this filing, 36,000 shares of common stock have vested and been issued. |
| 2 | Common | Common Stock | 2023-08-01 | S | D | 4,555 | $1.88 | 789,113 | D | — | — | (F3) The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $1.85 to $1.97, inclusive. The reporting person undertakes to provide to Paysign, Inc. (the "Company"), any security holder of the Company, or the staff of the Securities and Exchange Commission (the "SEC"), upon request, full information regarding the number of shares sold at each separate price within the range set forth in this footnote. |
| 3 | Common | Common Stock | 2023-08-02 | S | D | 3,992 | $1.82 | 785,121 | D | — | — | (F4) The price reported in column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $1.79 to $1.87, inclusive. The reporting person undertakes to provide to the Company, any security holder of the Company, or the staff of the SEC, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this footnote. |
| 4 | Derivative | Stock Grant | 2023-07-31 | M | D | 36,000 | $0.00 | 144,000 | D | — · — to 2027-07-31 | 36,000 Common stock | (F1) On July 26, 2022, the reporting person received a grant of 180,000 shares of common stock vesting annually in equal amounts over a five-year period commencing on July 31, 2023. As of the date of this filing, 36,000 shares of common stock have vested and been issued. |