0001185185-21-001351.txt : 20210923
0001185185-21-001351.hdr.sgml : 20210923
20210923161351
ACCESSION NUMBER: 0001185185-21-001351
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210602
FILED AS OF DATE: 20210923
DATE AS OF CHANGE: 20210923
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Moghavem Pouya
CENTRAL INDEX KEY: 0001876750
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-34294
FILM NUMBER: 211272675
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
0001876750
Moghavem Pouya
3131 CAMINO DEL RIO NORTH
SUITE 1400
SAN DIEGO
CA
92108
0
1
0
0
CBDO
Common Stock par value $0.001
2021-06-16
4
M
0
246
6.06
A
35041
D
Common Stock par value $0.001
2021-06-16
4
M
0
4050
0.42
A
38678
D
Common Stock par value $0.001
2021-06-16
4
M
0
6243
0.39
A
40754
D
Common Stock par value $0.001
2021-07-06
4
A
0
50000
0.00
A
84344
D
Common Stock par value $0.001
2021-08-11
4
A
0
41667
0.00
A
126011
D
Stock Options
12.10
2021-06-02
4
A
0
3306
0.00
A
2021-12-01
2031-06-02
Common Stock par value $0.001
3306
34795
D
Stock Options
6.06
2021-06-16
4
D
0
413
0.00
D
2021-12-01
2031-06-02
Common Stock par value $0.001
413
34628
D
Stock Options
0.42
2021-06-16
4
D
0
4167
0.00
D
2021-12-01
2031-06-02
Common Stock par value $0.001
4167
34511
D
Stock Options
0.39
2021-06-16
4
D
0
6410
0.00
D
2021-12-01
2031-06-02
Common Stock par value $0.001
6410
34344
D
Mr. Moghavem did a cashless exercise of his 413 stock options. Mr. Moghavem received 246 shares of common stock and surrendered 167 shares of common stock underlying the stock option in payment of the exercise price.
Mr. Moghavem did a cashless exercise of his 4,167 stock options. Mr. Moghavem received 4,050 shares of common stock and surrendered 117 shares of common stock underlying the stock option in payment of the exercise price.
Mr. Moghavem did a cashless exercise of his 6,410 stock options. Mr. Moghavem received 6,243 shares of common stock and surrendered 167 shares of common stock underlying the stock option in payment of the exercise price.
/s/ Pouya Moghavem
2021-09-22