0001567619-23-001146.txt : 20230124 0001567619-23-001146.hdr.sgml : 20230124 20230123175056 ACCESSION NUMBER: 0001567619-23-001146 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20230124 DATE AS OF CHANGE: 20230123 EFFECTIVENESS DATE: 20230124 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Shift4 Payments, Inc. CENTRAL INDEX KEY: 0001794669 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-BUSINESS SERVICES, NEC [7389] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-471546 FILM NUMBER: 23545408 BUSINESS ADDRESS: STREET 1: 2202 NORTH IRVING STREET CITY: ALLENTOWN STATE: PA ZIP: 18109 BUSINESS PHONE: 888.276.2108 X1220 MAIL ADDRESS: STREET 1: 2202 NORTH IRVING STREET CITY: ALLENTOWN STATE: PA ZIP: 18109 D 1 primary_doc.xml X0708 D LIVE 0001794669 Shift4 Payments, Inc. 2202 North Irving Street Allentown PA PENNSYLVANIA 18109 888.276.2108 X1220 DELAWARE None None Corporation true 2019 Jared Isaacman 2202 North Irving Street Allentown PA PENNSYLVANIA 18109 Executive Officer Director Founder, Chief Executive Officer and Chairman of the Board of Directors Jordan Frankel 2202 North Irving Street Allentown PA PENNSYLVANIA 18109 Executive Officer General Counsel and Secretary Taylor Lauber 2202 North Irving Street Allentown PA PENNSYLVANIA 18109 Executive Officer President and Chief Strategy Officer Nancy Disman 2202 North Irving Street Allentown PA PENNSYLVANIA 18109 Executive Officer Chief Financial Officer Donald Isaacman 2202 North Irving Street Allentown PA PENNSYLVANIA 18109 Director Christopher Cruz 2202 North Irving Street Allentown PA PENNSYLVANIA 18109 Director Karen Roter Davis 2202 North Irving Street Allentown PA PENNSYLVANIA 18109 Director Sarah Goldsmith-Grover 2202 North Irving Street Allentown PA PENNSYLVANIA 18109 Director Jonathan Halkyard 2202 North Irving Street Allentown PA PENNSYLVANIA 18109 Director Sam Bakhshandehpour 2202 North Irving Street Allentown PA PENNSYLVANIA 18109 Director Other Technology Over $100,000,000 06b false 2023-01-23 false true true 0 1194490 1194490 0 true 8 8 0 0 0 false Shift4 Payments, Inc. /s/ Jordan Frankel Jordan Frankel General Counsel & Secretary 2023-01-23