Pay Usa, Inc.

Form 5500

PAY USA, INC.

680 American Avenue Suite 103, King Of Prussia, Pa 19406 (610) 337-3000 EIN:23-1719892 Plan Admin:Christian Hoyt

Year	Plan Name	Participants BOY/EOY	Assets BOY/EOY
2023	Plan NamePAY USA SAFE HARBOR 401(K) PLAN Plan #001 Participants BOY/EOY17 / 19 Assets BOY/EOY$1,573,333 / $1,987,344	2023	PAY USA SAFE HARBOR 401(K) PLAN - Plan #001	17 / 19	$1,573,333 / $1,987,344
2022	Plan NamePAY USA SAFE HARBOR 401(K) PLAN Plan #001 Participants BOY/EOY16 / 17 Assets BOY/EOY$1,783,626 / $1,573,333	2022	PAY USA SAFE HARBOR 401(K) PLAN - Plan #001	16 / 17	$1,783,626 / $1,573,333
2021	Plan NamePAY USA SAFE HARBOR 401(K) PLAN Plan #001 Participants BOY/EOY15 / 16 Assets BOY/EOY$1,480,398 / $1,783,626	2021	PAY USA SAFE HARBOR 401(K) PLAN - Plan #001	15 / 16	$1,480,398 / $1,783,626
2020	Plan NamePAY USA SAFE HARBOR 401(K) PLAN Plan #001 Participants BOY/EOY16 / 15 Assets BOY/EOY$1,186,093 / $1,480,398	2020	PAY USA SAFE HARBOR 401(K) PLAN - Plan #001	16 / 15	$1,186,093 / $1,480,398
2019	Plan NamePAY USA SAFE HARBOR 401(K) PLAN Plan #001 Participants BOY/EOY15 / 15 Assets BOY/EOY$882,987 / $1,186,093	2019	PAY USA SAFE HARBOR 401(K) PLAN - Plan #001	15 / 15	$882,987 / $1,186,093