Form Type: 4

SEC EDGAR Link
Accession Number:0000950170-23-065268
Date:2023-11-20
Issuer: PAYMENTUS HOLDINGS, INC. (PAY)
Original Submission Date:

Reporting Person:

PALUMBO ROBERT
C/O ACCEL-KKR
2180 SAND HILL ROAD, SUITE 300 MENLO PARK, CA 94025

Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
Title of SecurityTransaction Date2a. Deemed Execution Date Transaction CodeSharesAcquired or DisposedPrice per share 5. Amount of Securities Beneficially Owned Following Reported Transaction 6. Ownership Form Direct or IndirectNature of Indirect Ownership
Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, convertible securities
Title of Derivative Security Conversion or Exercise Price of Derivative Security Transaction Date Deemed Execution Date Transaction Code Number of Derivative Securities Acquired (A) or Disposed of (D) Date ExercisableExpiration Date Title and Amount of Securities Underlying Derivative Security Price of Derivative Security Number of derivative Securities Beneficially Owned Following Reported Transaction(s) Ownership Form: Direct (D) or Indirect (I) Nature of Indirect Beneficial Ownership
CLASS B COMMON STOCK 0.0 2023-11-20 deemed execution date J 500,000 (d) class a common stock 500,000 $0.00 71,363,439 indirect accel-kkr capital partners cv iii, lp
CLASS B COMMON STOCK 0.0 2023-11-20 deemed execution date J 38,888 (d) class a common stock 38,888 $0.00 5,596,117 indirect accel-kkr members fund, llc
CLASS B COMMON STOCK 0.0 deemed execution date 0 ( ) class a common stock 3,025,270 $0.00 3,025,270 indirect accel-kkr growth capital partners iii, lp
CLASS B COMMON STOCK 0.0 deemed execution date 0 ( ) class a common stock 101,395 $0.00 101,395 indirect accel-kkr growth capital partners ii strategic fund, lp
CLASS B COMMON STOCK 0.0 deemed execution date 0 ( ) class a common stock 1,195,150 $0.00 1,195,150 indirect accel-kkr growth capital partners ii, lp
CLASS B COMMON STOCK 0.0 deemed execution date 0 ( ) class a common stock 49,563 $0.00 49,563 direct
Footnotes
IDfootnote
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 in-kind pro rata distribution from the holding entity to its partners, without consideration.
f3 accel-kkr holdings gp, llc , or topco gp (for which decision making is controlled by mr. palumbo and mr. barnds), has voting and investment power over the shares of common stock of the issuer owned by (i) accel-kkr capital partners cv iii, lp, or cv iii; (ii) accel-kkr growth capital partners iii, lp, or gc iii; (iii) accel-kkr growth capital partners ii strategic fund, lp, or gc ii strategic; (iv) accel-kkr growth capital partners ii, lp, or gc ii; and (v) accel-kkr members fund, llc, or members fund.
f4 (continued from footnote 3) akkr fund iii management company cv, lp, or cv iii gp, is the sole general partner of cv iii. akkr growth capital management company iii, lp, or gc iii gp, is the sole general partner of gc iii. akkr growth capital management company ii, lp, or gc ii gp, is the sole general partner of gc ii strategic and gc ii. akkr management company, llc, or ugp, is the sole managing member of members fund and the sole general partner of cv iii gp, gc iii gp and gc ii gp. topco gp, is the sole managing member of ugp. akkr fund ii management company, lp, or the management company, is the sole management company of each of the accel-kkr funds, and ugp is the general partner of the management company. each of the reporting persons disclaims beneficial ownership of the reported securities except to the extent of such reporting person's pecuniary interest therein. each of the foregoing entities and mr. palumbo have separately filed form 4s reporting their interests.
f5 shares of class b common stock received in distributions described in footnote 2. such shares were previously reported as indirectly owned by the reporting persons.
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