0001209191-22-045015.txt : 20220809
0001209191-22-045015.hdr.sgml : 20220809
20220809163417
ACCESSION NUMBER: 0001209191-22-045015
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220621
FILED AS OF DATE: 20220809
DATE AS OF CHANGE: 20220809
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
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38532
FILM NUMBER: 221148903
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
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2022-06-21
0
0001728688
i3 Verticals, Inc.
IIIV
0001062406
WILDS DAVID M
40 BURTON HILLS BLVD.
SUITE 415
NASHVILLE
TN
37215
1
0
0
0
Stock Option (Right to Buy)
23.65
2022-06-21
4
A
0
9141
0.00
A
2032-06-21
Class A common stock, par value $0.0001 per share
9141
9141
D
The options will vest in full on the first anniversary of the grant date, subject to the Reporting Person's continued service with the Issuer.
/s/ Paul Maple, Attorney-in-Fact for David M. Wilds
2022-08-09