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