Robert Palumbo - Nov 20, 2023 Form 4 Insider Report for Paymentus Holdings, Inc. (PAY)

Role
Director, More than 10% owner
Signature
Robert Palumbo, /s/ Thomas C. Barnds, as attorney-in-fact
Stock symbol
PAY
Transactions as of
Nov 20, 2023
Transactions value $
$0
Form type
4
Date filed
11/20/2023, 09:30 PM
Next filing
Mar 18, 2024

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 PAY Class B Common Stock -Other $0 -500,000 -0.7% $0.00 71,363,439 Nov 20, 2023 Class A Common Stock 500,000 Accel-KKR Capital Partners CV III, LP F1, F2, F3, F4
transaction PAY Class B Common Stock -Other $0 -38,888 -0.69% $0.00 5,596,117 Nov 20, 2023 Class A Common Stock 38,888 Accel-KKR Members Fund, LLC F1, F2, F3, F4
holding PAY Class B Common Stock 3,025,270 Nov 20, 2023 Class A Common Stock 3,025,270 Accel-KKR Growth Capital Partners III, LP F1, F3, F4
holding PAY Class B Common Stock 101,395 Nov 20, 2023 Class A Common Stock 101,395 Accel-KKR Growth Capital Partners II Strategic Fund, LP F1, F3, F4
holding PAY Class B Common Stock 1,195,150 Nov 20, 2023 Class A Common Stock 1,195,150 Accel-KKR Growth Capital Partners II, LP F1, F3, F4
holding PAY Class B Common Stock 49,563 Nov 20, 2023 Class A Common Stock 49,563 Direct F1, F5

Explanation of Responses:

Id Content
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.