0001185185-21-001338.txt : 20210922 0001185185-21-001338.hdr.sgml : 20210922 20210922180814 ACCESSION NUMBER: 0001185185-21-001338 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210602 FILED AS OF DATE: 20210922 DATE AS OF CHANGE: 20210922 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Luna Vanessa CENTRAL INDEX KEY: 0001877056 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34294 FILM NUMBER: 211270449 MAIL ADDRESS: STREET 1: 3131 CAMINO DEL RIO NORTH STREET 2: SUITE 1400 CITY: SAN DIEGO STATE: CA ZIP: 92108 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: GreenBox POS CENTRAL INDEX KEY: 0001419275 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MANAGEMENT CONSULTING SERVICES [8742] IRS NUMBER: 000000000 STATE OF INCORPORATION: NV FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 3131 CAMINO DEL RIO NORTH, SUITE 1400 CITY: SAN DIEGO STATE: CA ZIP: 92108 BUSINESS PHONE: 619-631-8261 MAIL ADDRESS: STREET 1: 3131 CAMINO DEL RIO NORTH, SUITE 1400 CITY: SAN DIEGO STATE: CA ZIP: 92108 FORMER COMPANY: FORMER CONFORMED NAME: GreenBox POS, LLC DATE OF NAME CHANGE: 20180613 FORMER COMPANY: FORMER CONFORMED NAME: ASAP Expo, Inc. DATE OF NAME CHANGE: 20071123 4 1 ownership.xml X0306 4 2021-06-02 0 0001419275 GreenBox POS GBOX 0001877056 Luna Vanessa 3131 CAMINO DEL RIO NORTH SUITE 1400 SAN DIEGO CA 92108 0 1 0 0 Chief Operating Officer Common Stock, par value $0.001 2021-07-06 4 A 0 50000 0.00 A 136640 D Common Stock, par value $0.001 2021-08-11 4 A 0 41667 0.00 A 178307 D Stock Options 12.10 2021-06-02 4 A 0 3306 12.10 A 2021-12-01 2031-06-02 Common Stock par Value $0.001 3306 86640 D The Company effected a reverse stock split of 1:6 on February 17, 2021. As a result, Ms. Luna's 500,000 shares of common stock became 83,334 shares of common stock. /s/ Vanessa Luna 2021-09-21