Dushyant Sharma - May 25, 2021 Form 3 Insider Report for Paymentus Holdings, Inc. (PAY)

Role
Chairman, President and CEO, Director, 10%+ Owner
Signature
/s/ John Morrow, Attorney-in-Fact
Stock symbol
PAY
Transactions as of
May 25, 2021
Transactions value $
$0
Form type
3
Date filed
5/25/2021, 06:32 PM
Next filing
May 28, 2021

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
holding PAY Common Stock 17.5M May 25, 2021 See Explanation of Responses F1, F2
holding PAY Common Stock 1.15M May 25, 2021 See Explanation of Responses F1, F3
holding PAY Common Stock 157K May 25, 2021 See Explanation of Responses F1, F4
holding PAY Common Stock 157K May 25, 2021 See Explanation of Responses F1, F5
holding PAY Common Stock 157K May 25, 2021 See Explanation of Responses F1, F6
holding PAY Common Stock 157K May 25, 2021 See Explanation of Responses F1, F7

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
holding PAY Stock Option (Right to Buy) May 25, 2021 Common Stock 3.3M $8.66 See Explanation of Responses F1, F8, F9
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 Immediately prior to the completion of the Issuer's initial public offering of Class A Common Stock, each share of Common Stock shall be reclassified into one share of Class B Common Stock. 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.
F2 Dushyant Sharma is the sole manager of Ashigrace LLC and has sole voting and dispositive power over the shares held by Ashigrace LLC, which directly holds 17,549,795 shares of Common Stock.
F3 Mr. Sharma serves as the trustee for the The Ruma Sharma Family Trust dated December 3, 2018, which directly holds 1,152,560 shares of Common Stock.
F4 Mr. Sharma's spouse serves as the trustee for the The Sharma Family Trust A dated March 30, 2021, which directly holds 157,167 shares of Common Stock. Mr. Sharma disclaims beneficial ownership of the shares held by The Sharma Family Trust A dated March 30, 2021.
F5 Mr. Sharma's spouse serves as the trustee for the The Sharma Family Trust B dated March 30, 2021, which directly holds 157,167 shares of Common Stock. Mr. Sharma disclaims beneficial ownership of the shares held by The Sharma Family Trust B dated March 30, 2021.
F6 Mr. Sharma's spouse serves as the trustee for the The Sharma Family Trust C dated March 30, 2021, which directly holds 157,167 shares of Common Stock. Mr. Sharma disclaims beneficial ownership of the shares held by The Sharma Family Trust C dated March 30, 2021.
F7 Mr. Sharma's spouse serves as the trustee for the The Sharma Family Trust D dated March 30, 2021, which directly holds 157,167 shares of Common Stock. Mr. Sharma disclaims beneficial ownership of the shares held by The Sharma Family Trust D dated March 30, 2021.
F8 One fifth (1/5th) of the shares subject to the award shall vest one year after January 25, 2019, or the Vesting Commencement Date, and one sixtieth (1/60th) of the shares subject to the award shall vest each month thereafter on the same day of the month as the Vesting Commencement Date.
F9 Mr. Sharma is the sole manager of Ashigrace LLC and has sole voting and dispositive power over the shares held by Ashigrace LLC, which directly holds options to purchase 3,304,870 shares of Common Stock.

Remarks:

Exhibit 24 - Power of Attorney