Jason Klein - Nov 20, 2023 Form 4 Insider Report for Paymentus Holdings, Inc. (PAY)

Role
Director
Signature
/s/ Jason Klein
Stock symbol
PAY
Transactions as of
Nov 20, 2023
Transactions value $
$0
Form type
4
Date filed
11/21/2023, 09:00 PM
Previous filing
May 25, 2021
Next filing
Mar 18, 2024

Derivative Securities (e.g., puts, calls, warrants, options, convertible securities)

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Underlying Class Amount Exercise Price Ownership Footnotes
transaction PAY Class B Common Stock Other $0 +12K $0.00 12K Nov 20, 2023 Class A Common Stock 12K See footnote F1, F2, F3
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 Class B Common Stock is convertible at any time, at the holder's election and automatically in connection with certain transfers and upon certain other events, into an equal number of shares of Class A Common Stock and has no expiration date.
F2 Shares received in a pro rata distribution from funds affiliated with Accel-KKR. The acquisition of such shares was exempt pursuant to Rule 16a-9(a) under the Securities Exchange Act of 1934, as amended.
F3 Shares held by The Jason and Farah Klein Revocable Trust dtd 1/27/2011.