0001437749-17-019387.txt : 20171114
0001437749-17-019387.hdr.sgml : 20171114
20171114170413
ACCESSION NUMBER: 0001437749-17-019387
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20171109
FILED AS OF DATE: 20171114
DATE AS OF CHANGE: 20171114
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Dumais Paul
CENTRAL INDEX KEY: 0001722290
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-52635
FILM NUMBER: 171202695
MAIL ADDRESS:
STREET 1: C/O ACCELERIZE, INC.
STREET 2: 20411 SW BIRCH STREET, SUITE 250
CITY: NEWPORT BEACH
STATE: CA
ZIP: 92660
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Accelerize Inc.
CENTRAL INDEX KEY: 0001352952
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-BUSINESS SERVICES, NEC [7389]
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 20411 SW BIRCH STREET
STREET 2: SUITE 250
CITY: NEWPORT BEACH
STATE: CA
ZIP: 92660
BUSINESS PHONE: 949-515-2141
MAIL ADDRESS:
STREET 1: 20411 SW BIRCH STREET
STREET 2: SUITE 250
CITY: NEWPORT BEACH
STATE: CA
ZIP: 92660
FORMER COMPANY:
FORMER CONFORMED NAME: ACCELERIZE NEW MEDIA INC
DATE OF NAME CHANGE: 20060210
4
1
rdgdoc.xml
FORM 4
X0306
4
2017-11-09
0001352952
Accelerize Inc.
ACLZ
0001722290
Dumais Paul
C/O ACCELERIZE INC.
20411 SW BIRCH STREET SUITE 250
NEWPORT BEACH
CA
92660
1
Sr. VP, Product Development
Warrant to purchase Common Stock
0.50
2017-11-09
4
A
0
750000
0
A
2022-11-09
Common Stock
750000
750000
D
33.33% of the shares of common stock issuable upon exercise of the warrant were vested on October 1, 2017. The warrant vests thereafter in 8 equal quarterly installments.
/s/ Paul Dumais
2017-11-14