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