0001209191-23-029823.txt : 20230516
0001209191-23-029823.hdr.sgml : 20230516
20230516164358
ACCESSION NUMBER: 0001209191-23-029823
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230512
FILED AS OF DATE: 20230516
DATE AS OF CHANGE: 20230516
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: WHITSON CLAY M
CENTRAL INDEX KEY: 0001072796
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MISCELLANEOUS BUSINESS SERVICES [7380]
STATE OF INCORPORATION: GA
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38532
FILM NUMBER: 23928248
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
X0407
4
2023-05-12
0
0001728688
i3 Verticals, Inc.
IIIV
0001072796
WHITSON CLAY M
40 BURTON HILLS BLVD.
SUITE 415
NASHVILLE
TN
37215
1
1
0
0
Chief Financial Officer
0
Class B common stock, par value $0.0001 per share
2023-05-12
5
G
0
E
35570
0.00
D
0
I
By Clay M. Whitson 2018 GRAT
Class B common stock, par value $0.0001 per share
263292
D
Common Units
2023-05-12
5
G
0
E
35570
0.00
D
Class A common stock, par value $0.0001 per share
35570
0
I
By Clay M. Whitson 2018 GRAT
Common Units
Class A common stock, par value $0.0001 per share
263292
263292
D
The reporting person caused the Clay M. Whitson 2018 Grantor Retained Annuity Trust (the "Trust") to transfer for no consideration these shares of Class B common stock, par value $0.0001 per share (the "Class B Common Stock") of i3 Verticals, Inc. (the "Issuer").
Represents shares of Class B Common Stock of the Issuer held by the Trust.
Certain of the reported directly owned shares of Class B Common Stock of the Issuer were transferred from the Trust, of which the Reporting Person is trustee and beneficiary, to the Reporting Person individually, in a transaction exempted by Rule 16a-13.
Pursuant to the Amended and Restated Certificate of Incorporation of the Issuer, the shares of the Issuer's Class B Common Stock are cancellable for no consideration on a one-to-one basis upon any redemption of the common units in i3 Verticals, LLC (the "Common Units") for shares of Class A common stock, par value $0.0001 per share ("Class A Common Stock") of the Issuer.
The Common Units may be redeemed by the Reporting Person at any time for an equal number of shares of Class A Common Stock or, at the election of i3 Verticals, LLC, cash equal to the volume-weighted average market price of such shares. Upon the Reporting Person's redemption of a Common Unit for Class A Common Stock, any corresponding share of Class B Common Stock will be cancelled.
The reporting person caused the Trust to transfer for no consideration these Common Units.
All Common Units are fully vested and have no expiration date.
Represents Common Units held by the Trust.
Certain of the reported directly owned Common Units were transferred from the Trust to the Reporting Person individually, in a transaction exempted by Rule 16a-13.
/s/ Paul Maple, Attorney-in-Fact for Clay M. Whitson
2023-05-16