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PAYS Paysign Inc

4.61
-0.06 (-1.28%)
After Hours
Last Updated: 21:00:19
Delayed by 15 minutes
Share Name Share Symbol Market Type
Paysign Inc NASDAQ:PAYS NASDAQ Common Stock
  Price Change % Change Share Price Bid Price Offer Price High Price Low Price Open Price Shares Traded Last Trade
  -0.06 -1.28% 4.61 4.57 4.74 4.75 4.53 4.70 188,980 21:00:19

Initial Statement of Beneficial Ownership (3)

10/05/2021 5:55pm

Edgar (US Regulatory)


FORM 3
        
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

OMB APPROVAL
OMB Number: 3235-0104
Estimated average burden
hours per response...
0.5
                      
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
                      

1. Name and Address of Reporting Person *

Baker Jeffery Bradford
2. Date of Event Requiring Statement (MM/DD/YYYY)
2/22/2021 

3. Issuer Name and Ticker or Trading Symbol

Paysign, Inc. [PAYS]
(Last)        (First)        (Middle)

2615 ST. ROSE PKWY
4. Relationship of Reporting Person(s) to Issuer (Check all applicable)

_____ Director                          _____ 10% Owner
___X___ Officer (give title below)        _____ Other (specify below)
CFO /
(Street)

HENDERSON, NV 89052      

(City)              (State)              (Zip)
5. If Amendment, Date Original Filed(MM/DD/YYYY)
 

6. Individual or Joint/Group Filing(Check Applicable Line)

_X_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person

Table I - Non-Derivative Securities Beneficially Owned
1.Title of Security
(Instr. 4)
2. Amount of Securities Beneficially Owned
(Instr. 4)
3. Ownership Form: Direct (D) or Indirect (I)
(Instr. 5)
4. Nature of Indirect Beneficial Ownership
(Instr. 5)

Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivate Security
(Instr. 4)
2. Date Exercisable and Expiration Date
(MM/DD/YYYY)
3. Title and Amount of Securities Underlying Derivative Security
(Instr. 4)
4. Conversion or Exercise Price of Derivative Security5. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 5)
6. Nature of Indirect Beneficial Ownership
(Instr. 5)
Date ExercisableExpiration DateTitleAmount or Number of Shares
Stock Grant  (1) (1)Common Stock 300000 (2) (2)D  

Explanation of Responses:
(1) Not Applicable
(2) Upon employment, the Company granted Jeffery Baker five equal tranches of sixty thousand restricted common shares each valued at $285,600, which vest annually in equal amounts over a five year period commencing on February 28, 2022, if Jeffery Baker is still employed by the Company at each vesting date.

Reporting Owners
Reporting Owner Name / Address
Relationships
Director10% OwnerOfficerOther
Baker Jeffery Bradford
2615 ST. ROSE PKWY
HENDERSON, NV 89052


CFO

Signatures
/s/ Jeff Baker5/6/2021
**Signature of Reporting PersonDate

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