Dennis L. Triplett - 03 May 2022 Form 4 Insider Report for Paysign, Inc. (PAYS)

Role
Director
Signature
/s/ Dennis L. Triplett
Issuer symbol
PAYS
Transactions as of
03 May 2022
Net transactions value
$0
Form type
4
Filing time
04 May 2022, 19:27:24 UTC
Next filing
02 Jun 2023
SEC
View on sec.gov

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
transaction PAYS Common Stock Award +50,000 +33% 200,000 03 May 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
transaction PAYS Stock Grant Options Exercise -50,000 -100% 0 03 May 2022 Common Stock Direct F1, F2
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 On May 3, 2018, Mr. Triplett received a grant of 200,000 shares of Common Stock, vesting in equal parts over a 4 year period on each anniversary date on which Mr. Triplett is still serving as a director
F2 Not applicable