0001553350-17-001327.txt : 20171205 0001553350-17-001327.hdr.sgml : 20171205 20171205181941 ACCESSION NUMBER: 0001553350-17-001327 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171124 FILED AS OF DATE: 20171205 DATE AS OF CHANGE: 20171205 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Goldfarb Adrian Graham CENTRAL INDEX KEY: 0001427103 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-55497 FILM NUMBER: 171240755 MAIL ADDRESS: STREET 1: 3515 SE LIONEL TERRACE CITY: STUART STATE: FL ZIP: 34997 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: DUOS TECHNOLOGIES GROUP, INC. CENTRAL INDEX KEY: 0001396536 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372] IRS NUMBER: 650493217 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 6622 SOUTHPOINT DRIVE S STREET 2: SUITE 310 CITY: JACKSONVILLE STATE: FL ZIP: 32216 BUSINESS PHONE: 904-296-2807 MAIL ADDRESS: STREET 1: 6622 SOUTHPOINT DRIVE S STREET 2: SUITE 310 CITY: JACKSONVILLE STATE: FL ZIP: 32216 FORMER COMPANY: FORMER CONFORMED NAME: DUOS TECHNOLOGY GROUP, INC. DATE OF NAME CHANGE: 20150710 FORMER COMPANY: FORMER CONFORMED NAME: INFORMATION SYSTEMS ASSOCIATES, INC. DATE OF NAME CHANGE: 20070416 4 1 goldfarb4.xml OWNERSHIP DOCUMENT X0306 4 2017-11-24 0 0001396536 DUOS TECHNOLOGIES GROUP, INC. DUOT 0001427103 Goldfarb Adrian Graham 6622 SOUTHPOINT DRIVE S JACKSONVILLE FL 32216 1 1 0 0 CFO DUOT - Common Stock 2017-11-24 4 P 0 34020 1.00 A 38752 D Warrants to purchase DUOT - Common Stock 1.00 2017-11-24 4 A 0 34020 A 2017-11-21 2022-11-21 Common Stock 34020 34020 D In connection with a private offering conducted by Duos Technologies Group, Inc. (the "Company") that closed on November 24, 2017, Adrian G. Goldfarb converted $34,020 of liabilities into shares of the Company's common stock a price of $1.00 per share and was issued warrants (the "Warrant") to purchase 34,020 shares of common stock of the at an exercise price of $1.00 per share expiring five years from the Initial Exercise Date (as defined in the Warrant). /s/ Adrian G. Goldfarb 2017-12-05