Balaji Devarasetty - 29 Apr 2022 Form 3 Insider Report for Paya Holdings Inc.

Role
Chief Information Officer
Signature
/s/ Mindy Doster, by Power of Attorney
Issuer symbol
N/A
Transactions as of
29 Apr 2022
Net transactions value
$0
Form type
3
Filing time
06 May 2022, 16:01:22 UTC
Next filing
07 Oct 2022
SEC
View on sec.gov

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
holding PAYA Common Stock 155,976 29 Apr 2022 Direct F1

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 PAYA Option (Right to Buy) 29 Apr 2022 Common Stock 150,000 $9.48 Direct F2
holding PAYA Option (Right to Buy) 29 Apr 2022 Common Stock 17,928 $5.12 Direct F3
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 Consists of (i) 150,000 restricted stock units, which vest in three equal installments on October 1, 2022, October 1, 2023 and October 1, 2024, and (ii) 5,976 restricted stock units, which vest in three equal installments on March 16, 2023, March 16, 2024 and March 16, 2025.
F2 The option vests and becomes exercisable in five equal annual installments on October 1, 2022, October 1, 2023, October 1, 2024, October 1, 2025 and October 1, 2026.
F3 The option vests and becomes exercisable in five equal annual installments on March 16, 2023, March 16, 2024, March 16, 2025, March 16, 2026 and March 16, 2027.

Remarks:

Exhibit 24 - Power of Attorney