0001213900-20-004137.txt : 20200218
0001213900-20-004137.hdr.sgml : 20200218
20200218161936
ACCESSION NUMBER: 0001213900-20-004137
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20200214
FILED AS OF DATE: 20200218
DATE AS OF CHANGE: 20200218
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Selzer Herbert M.
CENTRAL INDEX KEY: 0001654976
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-54545
FILM NUMBER: 20625543
MAIL ADDRESS:
STREET 1: C/O ID GLOBAL SOLUTIONS CORPORATION
STREET 2: 160 E. LAKE BRANTLEY DRIVE
CITY: LONGWOOD
STATE: FL
ZIP: 32779
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Ipsidy Inc.
CENTRAL INDEX KEY: 0001534154
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372]
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 670 LONG BEACH BLVD.
CITY: LONG BEACH
STATE: NY
ZIP: 11561
BUSINESS PHONE: 516-274-8700
MAIL ADDRESS:
STREET 1: 670 LONG BEACH BLVD.
CITY: LONG BEACH
STATE: NY
ZIP: 11561
FORMER COMPANY:
FORMER CONFORMED NAME: ID Global Solutions Corp
DATE OF NAME CHANGE: 20141014
FORMER COMPANY:
FORMER CONFORMED NAME: IIM Global Corp
DATE OF NAME CHANGE: 20130107
FORMER COMPANY:
FORMER CONFORMED NAME: Silverwood Acquisition Corp
DATE OF NAME CHANGE: 20111102
4
1
ownership.xml
X0306
4
2020-02-14
0
0001534154
Ipsidy Inc.
IDTY
0001654976
Selzer Herbert M.
C/O IPSIDY INC.
670 LONG BEACH BLVD.
LONG BEACH
NY
11561
1
0
0
0
Common Stock, $.0001 par value
5363945
D
Common Stock, $.0001 par value
1537778
I
See Footnotes
15% Convertible Note
0.20
2020-02-14
4
P
0
750000
100000
A
2020-02-14
2022-02-28
Common Stock, $0.0001 par value per share
750000
750000
D
Stock Options
0.15
2015-09-30
2025-09-30
Common Stock, $0.0001 par value per share
400000
400000
D
Common Stock Purchase Warrant
0.10
2015-09-26
2020-09-26
Common Stock, $0.0001 par value per share
1000000
1000000
D
Common Stock Purchase Warrant
0.06
2015-07-29
2022-05-13
Common Stock, $0.0001 par value per share
880000
880000
I
See Footnotes
Securities are held by Vista Associates, L.P. ("Vista"). Mr. Selzer serves as the general partner of Vista. Warrants issued 7/29/15 were amended pursuant to the investment in 15% Convertible Note
In connection with the Company's private offering, Mr. Selzer acquired a 15% Convertible Note. The 15% Convertible Note is convertible into an amount equal to 150% of the principal amount due under the 15% Convertible Note divided by the conversion price of $0.20 per share.
/s/ Herbert M. Selzer
2020-02-18