Form Type: 4

SEC EDGAR Link
Accession Number:0000950170-23-065681
Date:2023-11-20
Issuer: PAYMENTUS HOLDINGS, INC. (PAY)
Original Submission Date:

Reporting Person:

MALINOWSKI ADAM
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 1,563 (a) class a common stock 1,563 $0.00 1,563 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 shares received in a pro rata distribution from funds affiliated with accel-kkr. the acquisition of such shares was exempt pursuant to rule 16a-9(a) under the securities exchange act of 1934, as amended.
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