0001213900-20-016573.txt : 20200702 0001213900-20-016573.hdr.sgml : 20200702 20200702161903 ACCESSION NUMBER: 0001213900-20-016573 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200630 FILED AS OF DATE: 20200702 DATE AS OF CHANGE: 20200702 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Broenniman Philip R CENTRAL INDEX KEY: 0001781770 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-54545 FILM NUMBER: 201009583 MAIL ADDRESS: STREET 1: C/O CSS INDUSTRIES, INC. STREET 2: 450 PLYMOUTH ROAD, SUITE 300 CITY: PLYMOUTH MEETING STATE: PA ZIP: 19462 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 2020-06-30 0 0001534154 Ipsidy Inc. IDTY 0001781770 Broenniman Philip R C/O IPSIDY INC., 670 LONG BEACH BLVD. LONG BEACH NY 11561 1 1 0 0 President/COO Common Stock, $.0001 par value 5182412 D Common Stock, $.0001 par value 2020-06-30 4 P 0 714285 0.07 A 9153969 I See footnote Common Stock, $.0001 par value 2020-06-30 4 X 0 3716667 0.07 A 8439684 I See footnote Warrants 0.15 2020-06-30 4 P 0 929167 0.07 A 2020-06-30 2022-06-30 Common Stock, $0.0001 par value per share 929167 929167 I See Footnotes Warrants 0.07 2020-06-30 4 X 0 3716667 0.07 A 2015-09-30 2020-09-30 Common Stock, $0.0001 par value per share 3716667 0 I See Footnotes Warrants 0.07 2020-06-30 4 P 0 3716667 0.07 A 2015-09-30 2020-09-30 Common Stock, $0.0001 par value per share 3716667 3716667 I See Footnotes Stock Options 0.07 2020-05-22 2025-05-22 Common Stock, $0.0001 par value per share 16666666 16666666 D Warrants 0.165 2018-08-15 2023-08-15 Common Stock, $0.0001 par value per share 350000 350000 D Warrants 0.088 2019-06-24 2024-06-23 Common Stock, $0.0001 par value per share 262500 262500 D Includes the right to acquire 1,500,000 shares of common stock at par value subject to the certain vesting criteria granted to Mr. Broenniman on March 6, 2020 pursuant to a Restricted Stock Purchase Agreement. Mr. Broenniman is the Managing Partner of Varana Capital, LLC ("Varana Capital"), which, in turn, is the investment manager of and has dispositive control over the shares held by Varana Capital Focused, LP ("VCFLP"). By virtue of these relationships, in addition to the shares he holds personally, Mr. Broenniman may be deemed to beneficially own the shares held by Varana Capital Focused, LP. On May 22, 2020, the Company granted Mr. Broenniman a Non-Statutory Option to acquire 16,666,666 shares of common stock at an exercise price of $0.07 per share with 3,333,333 shares vesting upon the grant of Non-Statutory Option, 5,333,333 shares vesting upon achieving certain performance conditions and 8,000,000 shares vesting upon achieving certain additional performance conditions. On June 30, 2020, VCFLP acquired common stock purchase warrants to acquire 3,716,667 shares of common stock from a warrant holder and VCFLP subsequently exercised the common stock purchase warrant for cash. In consideration of exercising its common stock purchase warrant to acquire 3,716,667 shares of common stock, VCFLP was granted a common stock purchase warrant to acquire 929,167 shares of common stock at an exercise price of $0.15 per share. Also on June 30, 2020, VCFLP entered into a Securities Purchase Agreement and acquired 714,285 shares of common stock for cash. /s/ Philip R. Broenniman 2020-07-02