SEC Form 4
| FORM 4 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
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| OMB APPROVAL |
| OMB Number: |
3235-0287 |
| Estimated average burden |
| hours per response: |
0.5 |
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue.
See
Instruction 1(b). |
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Check this box to indicate that a transaction was made pursuant to a contract, instruction or written plan for the purchase or sale of equity securities of the issuer that is intended to satisfy the affirmative defense conditions of Rule 10b5-1(c). See Instruction 10. |
1. Name and Address of Reporting Person*| Accel-KKR Holdings GP, LLC |
| C/O ACCEL-KKR |
| 2180 SAND HILL ROAD, SUITE 300 |
(Street)
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2. Issuer Name and Ticker or Trading Symbol
Paymentus Holdings, Inc.
[ PAY ]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
| X |
Director |
X |
10% Owner |
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Officer (give title below) |
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Other (specify below) |
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3. Date of Earliest Transaction
(Month/Day/Year) 09/03/2025
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4. If Amendment, Date of Original Filed
(Month/Day/Year)
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6. Individual or Joint/Group Filing (Check Applicable Line)
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Form filed by One Reporting Person |
| X |
Form filed by More than One Reporting Person |
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| Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned |
| 1. Title of Security (Instr.
3)
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2. Transaction Date
(Month/Day/Year) |
2A. Deemed Execution Date, if any
(Month/Day/Year) |
3. Transaction Code (Instr.
8)
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4. Securities Acquired (A) or Disposed Of (D) (Instr.
3, 4 and 5)
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5.
Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr.
3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr.
4)
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7. Nature of Indirect Beneficial Ownership (Instr.
4)
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| Code |
V |
Amount |
(A) or (D) |
Price |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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| 1. Title of Derivative Security (Instr.
3)
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2. Conversion or Exercise Price of Derivative Security
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3. Transaction Date
(Month/Day/Year) |
3A. Deemed Execution Date, if any
(Month/Day/Year) |
4. Transaction Code (Instr.
8)
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5.
Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr.
3, 4 and 5)
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6. Date Exercisable and Expiration Date
(Month/Day/Year) |
7. Title and Amount of Securities Underlying Derivative Security (Instr.
3 and 4)
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8. Price of Derivative Security (Instr.
5)
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9.
Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr.
4)
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10. Ownership Form: Direct (D) or Indirect (I) (Instr.
4)
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11. Nature of Indirect Beneficial Ownership (Instr.
4)
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| Code |
V |
(A) |
(D) |
Date Exercisable |
Expiration Date |
Title |
Amount or Number of Shares |
| Class B Common Stock |
|
09/03/2025 |
|
J
|
|
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3,602,968 |
|
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Class A Common Stock |
3,602,968 |
$0
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28,601,221 |
I |
Accel-KKR Capital Partners CV III, LP
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| Class B Common Stock |
|
09/03/2025 |
|
J
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180,352 |
|
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Class A Common Stock |
180,352 |
$0
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1,544,110 |
I |
Accel-KKR Members Fund, LLC
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| Class B Common Stock |
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09/03/2025 |
|
J
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151,676 |
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Class A Common Stock |
151,676 |
$0
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1,204,039 |
I |
Accel-KKR Growth Capital Partners III, LP
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| Class B Common Stock |
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09/03/2025 |
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J
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5,084 |
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Class A Common Stock |
5,084 |
$0
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40,352 |
I |
Accel-KKR Growth Capital Partners II Strategic Fund, LP
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| Class B Common Stock |
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09/03/2025 |
|
J
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59,920 |
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Class A Common Stock |
59,920 |
$0
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475,665 |
I |
Accel-KKR Growth Capital Partners II, LP
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| Class B Common Stock |
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Class A Common Stock |
4,740,040
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4,740,040 |
I |
AKKR Strategic Capital LP
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| Class B Common Stock |
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Class A Common Stock |
697,381
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697,381 |
I |
AKKR SC GPI HoldCo LP
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1. Name and Address of Reporting Person*| Accel-KKR Holdings GP, LLC |
| C/O ACCEL-KKR |
| 2180 SAND HILL ROAD, SUITE 300 |
(Street)
Relationship of Reporting Person(s) to Issuer
| X |
Director |
X |
10% Owner |
|
Officer (give title below) |
|
Other (specify below) |
|
|
|
|
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1. Name and Address of Reporting Person*| ACCEL-KKR CAPITAL PARTNERS CV III, LP |
| C/O ACCEL-KKR |
| 2180 SAND HILL ROAD, SUITE 300 |
(Street)
Relationship of Reporting Person(s) to Issuer
|
Director |
X |
10% Owner |
|
Officer (give title below) |
|
Other (specify below) |
|
|
|
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1. Name and Address of Reporting Person*| ACCEL-KKR GROWTH CAPITAL PARTNERS III, LP |
| C/O ACCEL-KKR |
| 2180 SAND HILL ROAD, SUITE 300 |
(Street)
Relationship of Reporting Person(s) to Issuer
|
Director |
X |
10% Owner |
|
Officer (give title below) |
|
Other (specify below) |
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1. Name and Address of Reporting Person*| Accel-KKR Growth Capital Partners II Strategic Fund, LP |
| C/O ACCEL-KKR |
| 2180 SAND HILL ROAD, SUITE 300 |
(Street)
Relationship of Reporting Person(s) to Issuer
|
Director |
X |
10% Owner |
|
Officer (give title below) |
|
Other (specify below) |
|
|
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1. Name and Address of Reporting Person*| Accel-KKR Growth Capital Partners II, LP |
| C/O ACCEL-KKR |
| 2180 SAND HILL ROAD, SUITE 300 |
(Street)
Relationship of Reporting Person(s) to Issuer
|
Director |
X |
10% Owner |
|
Officer (give title below) |
|
Other (specify below) |
|
|
|
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1. Name and Address of Reporting Person*| Accel-KKR Members Fund, LLC |
| C/O ACCEL-KKR |
| 2180 SAND HILL ROAD, SUITE 300 |
(Street)
Relationship of Reporting Person(s) to Issuer
|
Director |
X |
10% Owner |
|
Officer (give title below) |
|
Other (specify below) |
|
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1. Name and Address of Reporting Person*
| C/O ACCEL-KKR |
| 2180 SAND HILL ROAD, SUITE 300 |
(Street)
Relationship of Reporting Person(s) to Issuer
|
Director |
X |
10% Owner |
|
Officer (give title below) |
|
Other (specify below) |
|
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1. Name and Address of Reporting Person*| AKKR STRATEGIC CAPITAL LP |
| C/O ACCEL-KKR |
| 2180 SAND HILL ROAD, SUITE 300 |
(Street)
Relationship of Reporting Person(s) to Issuer
|
Director |
X |
10% Owner |
|
Officer (give title below) |
|
Other (specify below) |
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| Explanation of Responses: |
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Accel-KKR Holdings GP, LLC, /s/ Thomas C. Barnds, as its authorized signatory |
09/05/2025 |
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Accel-KKR Capital Partners CV III, LP, /s/ Thomas C. Barnds, as its authorized signatory |
09/05/2025 |
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Accel-KKR Growth Capital Partners III, LP, /s/ Thomas C. Barnds, as its authorized signatory |
09/05/2025 |
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Accel-KKR Growth Capital Partners II Strategic Fund, LP, /s/ Thomas C. Barnds, as its authorized signatory |
09/05/2025 |
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Accel-KKR Growth Capital Partners II, LP, /s/ Thomas C. Barnds, as its authorized signatory |
09/05/2025 |
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AKKR Members Fund, LLC /s/ Thomas C. Barnds, as its authorized signatory |
09/05/2025 |
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AKKR Strategic Capital LP /s/ Thomas C. Barnds, as its authorized signatory |
09/05/2025 |
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AKKR SC GPI HoldCo LP /s/ Thomas C. Barnds, as its authorized signatory |
09/05/2025 |
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** Signature of Reporting Person |
Date |
| Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. |
| * If the form is filed by more than one reporting person,
see
Instruction
4
(b)(v). |
| ** Intentional misstatements or omissions of facts constitute Federal Criminal Violations
See
18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
| Note: File three copies of this Form, one of which must be manually signed. If space is insufficient,
see
Instruction 6 for procedure. |
| Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. |