0001437749-18-011960.txt : 20180618
0001437749-18-011960.hdr.sgml : 20180618
20180618080353
ACCESSION NUMBER: 0001437749-18-011960
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20180615
FILED AS OF DATE: 20180618
DATE AS OF CHANGE: 20180618
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Ross Brian S
CENTRAL INDEX KEY: 0001388991
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-52635
FILM NUMBER: 18903613
MAIL ADDRESS:
STREET 1: C/O ACCELERIZE NEW MEDIA, INC.
STREET 2: 6477 HIGHWAY 93 SOUTH, SUITE 303
CITY: WHITEFISH
STATE: MT
ZIP: 59937
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
2018-06-15
0001352952
Accelerize Inc.
ACLZ
0001388991
Ross Brian S
C/O ACCELERIZE INC.
20411 SW BIRCH STREET SUITE 250
NEWPORT BEACH
CA
92660
1
1
1
Chairman and CEO
Warrant to purchase Common Stock
0.35
2018-06-15
4
A
0
150000
0
A
2018-05-31
2024-05-31
Common Stock
150000
150000
I
By Spouse
The reporting person disclaims beneficial ownership of the reported securities except to the extent of his pecuniary interest therein.
/s/ Brian S. Ross
2018-06-18