Sec Form 4 Filing - Isaacman Jared @ Shift4 Payments, Inc. - 2023-06-22

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
Isaacman Jared
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 X __ 10% Owner
X __ Officer (give title below) _____ Other (specify below)
Chairman & CEO
(Last) (First) (Middle)
2202 N. IRVING ST.
3. Date of Earliest Transaction (MM/DD/YY)
06/22/2023
(Street)
ALLENTOWN, PA18109
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
Class C Common Stock 01/17/2023 G( 1 ) 799,105 D $ 0 1,918,884 I See footnote ( 2 )
Class C Common Stock 06/22/2023 G( 3 ) 308,756 D $ 0 1,610,128 I See footnote ( 2 )
Class C Common Stock 06/22/2023 G( 4 ) 22,677 D $ 0 1,587,451 I See footnote ( 2 )
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
Isaacman Jared
2202 N. IRVING ST.
ALLENTOWN, PA18109
X X Chairman & CEO
Signatures
/s/ Jordan Frankel, Attorney-in-Fact for Jared Isaacman 06/26/2023
Signature of Reporting Person Date
Explanation of Responses:
( 1 )The transaction reported shows the Reporting Person's charitable gift of 799,105 shares of Issuer's Class A common stock to St. Jude Children's Research Hospital (and the simultaneous cancellation of the same number of shares of the Issuer's Class C Common stock) as part of a previously announced giving pledge, pursuant to which the Reporting Person announced the intention to make charitable donations to St. Jude Children's Hospital.
( 2 )Securities held of record by Rook Holdings, Inc. ("Rook"). The Reporting Person, Mr. Isaacman, is the sole stockholder of Rook and therefore may be deemed to have beneficial ownership with respect to such securities.
( 3 )The transaction reported shows the Reporting Person's charitable gift of 308,756 shares of Issuer's Class A common stock to St. Jude Children's Research Hospital (and the simultaneous cancellation of the same number of shares of the Issuer's Class C Common stock) as part of a previously announced giving pledge, pursuant to which the Reporting Person announced the intention to make charitable donations to St. Jude Children's Hospital. This charitable gift is the final gift and completes the Reporting Person's intended donations under such pledge.
( 4 )The transaction reported shows the Reporting Person's charitable gift of 22,677 shares of Issuer's Class A common stock to Renaissance Charitable Foundation, Inc. (and the simultaneous cancellation of the same number of shares of the Issuer's Class C Common stock) as part of a previously announced giving pledge by the Reporting Person in conjunction with the Caring for Crypto Campaign. This charitable gift is the final gift and completes the Reporting Person's intended donations under such pledge.

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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