Eric C. Bell - 22 Feb 2023 Form 4 Insider Report for Paya Holdings Inc.

Reporting relationship: Chief Accounting Officer
Issuer ticker: N/A
Reported as of: 22 Feb 2023
Net transaction value: -$131,996
SEC form: 4
Accepted by SEC: 24 Feb 2023, 18:22:12 UTC
Prior SEC filing: 15 Feb 2023
Next SEC filing: 06 Feb 2026
Source filing: View source filing
Reporting owner signature: /s/ Glenn Renzulli, by Power of Attorney

Key filing fact

Eric C. Bell filed Form 4 for Paya Holdings Inc. on 24 Feb 2023.

Key facts

This page summarizes Eric C. Bell's Form 4 filing for Paya Holdings Inc..
4 reported transactions and 2 derivative rows are listed below.
Accepted by SEC: 24 Feb 2023, 18:22.

Change

Previous filing in this sequence was filed on 15 Feb 2023.
Current net transaction value: -$131,996.

Research use

This tells you what this filing adds before you inspect full transaction and derivative tables.
You can trace every row back to the original SEC filing document.

Evidence

Filed on Form 4

Ownership activity is grounded in SEC Form 4 disclosures.

View source filing

Reported non-derivative transactions

Shares, units, or other non-derivative securities reported in this filing.

PAYA transaction

Common Stock

Disposition pursuant to a tender of shares in a change of control transaction

Transaction value: $131,996
Shares: -13,538
Change %: -100%
Price: $9.75
Shares after: 0
Date: 22 Feb 2023
Ownership: Direct
Footnotes: F1

PAYA transaction

Common Stock

Disposed to Issuer

Transaction value
Shares: -64,265
Change %: -100%
Price
Shares after: 0
Date: 22 Feb 2023
Ownership: Direct
Footnotes: F2

Reported derivative securities

Options, warrants, convertible securities, or similar derivative positions disclosed in the filing.

PAYA transaction Derivative

Stock Option (right to buy)

Disposed to Issuer

Transaction value
Shares: -28,571
Change %: -100%
Price
Shares after: 0
Date: 22 Feb 2023
Ownership: Direct
Underlying class: Common Stock
Underlying amount: 28,571
Exercise price: $5.12
Footnotes: F1, F3

PAYA transaction Derivative

Stock Option (right to buy)

Disposed to Issuer

Transaction value
Shares: -35,000
Change %: -100%
Price
Shares after: 0
Date: 22 Feb 2023
Ownership: Direct
Underlying class: Common Stock
Underlying amount: 35,000
Exercise price: $1373.00
Footnotes: F1, F3

^* marks a reported price that did not pass the local price check.

Additional SEC filing notes

Filing notes and footnotes

Section 16 status

Eric C. Bell is no longer subject to Section 16 filing requirements. Form 4 or Form 5 obligations may still apply in specific circumstances.

Explanation of responses 3 footnotes

Footnote F1

Pursuant to the Agreement and Plan of Merger, dated as of January 8, 2023, by and among Paya Holdings Inc., Nuvei Corporation, a corporation incorporated pursuant to the laws of Canada and Pinnacle Merger Sub, Inc.

Footnote F2

Each of the Issuer's RSU outstanding and vested as of immediately prior to the Effective Time, was cancelled and converted into the right to receive a lump sum cash payment. Any RSUs that were outstanding and unvested as of immediately prior to the Effective Time were converted into a restricted stock unit award.

Footnote F3

Each of the Issuer's Options outstanding and vested as of Effective Time and had an exercise price less than $9.75 per Share was cancelled and converted into the right to receive a lump sum cash payment. The Option that was outstanding and unvested as of immediately prior to the Effective Time and that had an exercise price less than the Offer Price was converted into an option to purchase a number of subordinate voting shares of Parent.