0001209191-18-047447.txt : 20180817 0001209191-18-047447.hdr.sgml : 20180817 20180817170821 ACCESSION NUMBER: 0001209191-18-047447 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180620 FILED AS OF DATE: 20180817 DATE AS OF CHANGE: 20180817 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: WILDS DAVID M CENTRAL INDEX KEY: 0001062406 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-VARIETY STORES [5331] STATE OF INCORPORATION: KY FISCAL YEAR END: 0131 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-38532 FILM NUMBER: 181026442 MAIL ADDRESS: STREET 1: 40 BURTON HILLS BOULEVARD, SUITE 415 CITY: NASHVILLE STATE: TN ZIP: 37215 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: i3 Verticals, Inc. CENTRAL INDEX KEY: 0001728688 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-BUSINESS SERVICES, NEC [7389] IRS NUMBER: 824052852 STATE OF INCORPORATION: DE FISCAL YEAR END: 0930 BUSINESS ADDRESS: STREET 1: 40 BURTON HILLS BLVD. STREET 2: SUITE 415 CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 800-203-7981 MAIL ADDRESS: STREET 1: 40 BURTON HILLS BLVD. STREET 2: SUITE 415 CITY: NASHVILLE STATE: TN ZIP: 37215 4/A 1 doc4a.xml FORM 4/A SUBMISSION X0306 4/A 2018-06-20 2018-06-25 0 0001728688 i3 Verticals, Inc. IIIV 0001062406 WILDS DAVID M 40 BURTON HILLS BLVD. SUITE 415 NASHVILLE TN 37215 1 0 1 0 Stock Option (Right to Buy) 13.00 2018-06-20 4 A 0 10000 0.00 A 2028-06-20 Class A common stock, par value $0.0001 per share 10000 10000 D This Amendment is provided to revise the Transaction Date in Column 3 and the Expiration Date in Column 6. The option vests ratably in three equal annual installments beginning on the first anniversary of the grant date, subject to the Reporting Person's continued service with i3 Verticals, Inc. /s/ Paul Maple, Attorney-in-Fact for David M. Wilds 2018-08-17