Sec Form 4 Filing - Lewis William Austin IV @ PAID INC - 2016-12-30

Insider filing report for Changes in Beneficial Ownership
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FORM 4
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
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, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
Lewis William Austin IV
2. Issuer Name and Ticker or Trading Symbol
PAID INC [ PAYDD]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X __ Director _____ 10% Owner
X __ Officer (give title below) _____ Other (specify below)
PRESIDENT AND CFO
(Last) (First) (Middle)
C/O PAID, INC., 200 FRIBERG PKWY, STE 4004
3. Date of Earliest Transaction (MM/DD/YY)
12/30/2016
(Street)
WESTBOROUGH, MA01581
4. If Amendment, Date Original Filed (MM/DD/YY)
6. Individual or Joint/Group Filing (Check Applicable Line)
__ X __ Form filed by One Reporting Person
_____ Form filed by More than One Reporting Person
(City) (State) (Zip)
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Transaction Date (MM/DD/YY) 2A. Deemed Execution Date, if any (MM/DD/YY) 3. Transaction Code
(Instr. 8)
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
6. Ownership Form: Direct (D) or Indirect (I)
(Instr. 4)
7. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 01/02/2017 A 77,121 A $ 1.46 257,121 ( 1 ) I By Lewis Asset Mgmt. Corp.
Preferred Stock 01/02/2017 A 536,346 A $ 1.46 536,346 ( 1 ) I By Lewis Asset Mgmt. Corp.
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
( e.g. , puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security
(Instr. 3)
2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (MM/DD/YY) 3A. Deemed Execution Date, if any (MM/DD/YY) 4. Transaction Code
(Instr. 8)
5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4, and 5)
6. Date Exercisable and Expiration Date
(MM/DD/YY)
7. Title and Amount of Underlying Securities
(Instr. 3 and 4)
8. Price of Derivative Security
(Instr. 5)
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 4)
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 4)
11. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Exchangeable Shares (Right to Convert to Common) ( 2 ) ( 3 ) 12/30/2016 A 77,121 12/30/2016 12/30/2021 Common Stock 77,121 ( 1 ) $ 0 77,121 ( 1 ) I By Lewis Asset Mgmt. Corp.
Exchangeable Shares (Right to Convert to Preferred) ( 2 ) ( 3 ) 12/30/2016 A 536,346 12/30/2016 12/30/2021 Common Stock 536,346 ( 1 ) $ 0 536,346 ( 1 ) I By Lewis Asset Mgmt. Corp.
Exchangeable Shares (Right to Convert to Common) ( 2 ) ( 3 ) 01/02/2017 D 77,121 12/30/2016 12/30/2021 Common Stock 77,121 ( 1 ) $ 0 77,121 ( 1 ) I By Lewis Asset Mgmt. Corp.
Exchangeable Shares (Right to Convert to Preferred) ( 2 ) ( 3 ) 01/02/2017 D 536,346 12/30/2016 12/30/2021 Common Stock 536,346 ( 1 ) $ 0 536,346 ( 1 ) I By Lewis Asset Mgmt. Corp.
Warrant (Right to Buy Exchgble Shares Convtble into Common) ( 2 ) $ 1.46 12/30/2016 A 34,425 12/30/2016 12/30/2021 Common Stock 34,425 ( 1 ) $ 0 34,425 ( 1 ) I By Lewis Asset Mgmt. Corp.
Warrant (Right to Buy Exchgble Shares Convtble into Common) ( 2 ) $ 1.46 12/30/2016 A 239,412 12/30/2016 12/30/2021 Common Stock 239,412 ( 1 ) $ 0 239,412 ( 1 ) I By Lewis Asset Mgmt. Corp.
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
Lewis William Austin IV
C/O PAID, INC.
200 FRIBERG PKWY, STE 4004
WESTBOROUGH, MA01581
X PRESIDENT AND CFO
Signatures
/s/ W. Austin Lewis 01/04/2017
Signature of Reporting Person Date
Explanation of Responses:
( 1 )All numbers reflect a reverse split of 1:3000 followed by an immediate forward split of 300:1 effective on December 30, 2016.
( 2 )Exchangeable shares are rights to PAID, Inc.'s common stock and preferred stock. These rights can be exercised by the conversion of the exchangeable shares into shares of common and preferred stock of PAID Inc. in accordance with an Exchange and Call Rights Agreement filed as Appendix I to its Consent Solicitation Statement on Form 14A of PAID Inc. filed on October, 7 2016. Mr. Lewis may exercise his exchangeable rights as specified in the Exchange and Call Rights Agreement. The Preferred stock of PAID, Inc. is non-voting.
( 3 )Merger consideration equal to a valuation at $1.46 per share.

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