Sec Form 4/A Filing - Disman Nancy @ Shift4 Payments, Inc. - 2022-08-05

Insider filing report for Changes in Beneficial Ownership
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FORM 4/A
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
Disman Nancy
2. Issuer Name and Ticker or Trading Symbol
Shift4 Payments, Inc. [ FOUR]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X __ Director _____ 10% Owner
_____ Officer (give title below) _____ Other (specify below)
(Last) (First) (Middle)
2202 N. IRVING ST
3. Date of Earliest Transaction (MM/DD/YY)
08/05/2022
(Street)
ALLENTOWN, PA18109
4. If Amendment, Date Original Filed (MM/DD/YY)
08/05/2022
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
Class A Common Stock 08/05/2022 A 338,466( 1 ) A $ 0 344,318( 1 )( 2 ) D
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
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
Disman Nancy
2202 N. IRVING ST
ALLENTOWN, PA18109
X
Signatures
/s/ Jordan Frankel, Attorney-in-Fact for Nancy Disman 10/05/2022
Signature of Reporting Person Date
Explanation of Responses:
( 1 )This amendment is filed solely to correct the typos regarding the number of restricted stock units in Table I, column 4, which were incorrectly stated in the Form 4 filed on August 5, 2022. Represents an award of restricted stock units, which will vest (i) as to 50% in two equal annual installments on each of the first two anniversaries of the grant date, and (ii) as to 50% in three equal installments on each of the first three anniversaries of the grant date, in each case subject to continued service by the Reporting Person through the applicable vesting dates.
( 2 )This amendment also updates and corrects the total shares held in Table 1, column 5, including the resulting inaccuracies from the typo in column 4. Pursuant to the Issuer's Non-employee Director Compensation Policy and in connection with the Reporting Person's resignation as a Class II director of the board of directors of the Issuer on August 3, 2022, the cancellation of the 2,548 unvested restricted stock units is reflected as a reduction to the number of the Reporting Person's shares of common stock.

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).

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