0001213900-20-026371.txt : 20200914
0001213900-20-026371.hdr.sgml : 20200914
20200914105755
ACCESSION NUMBER: 0001213900-20-026371
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20200909
FILED AS OF DATE: 20200914
DATE AS OF CHANGE: 20200914
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: 201172575
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
2020-09-09
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
2020-09-09
4
J
0
769231
0.13
D
5594714
D
Common Stock, $.0001 par value
2020-09-09
4
X
0
1000000
0.10
A
6363945
D
Common Stock, $.0001 par value
2417778
I
See Footnotes
Common Stock Purchase Warrant
0.10
2020-09-09
4
X
0
1000000
0.10
D
2015-09-26
2020-09-26
Common Stock, $0.0001 par value per share
1000000
0
D
Common Stock Purchase Warrant
0.15
2020-06-30
2022-06-30
Common Stock, $0.0001 par value per share
440000
440000
I
See Footnotes
15% Convertible Note
0.20
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
Securities held by Vista PBG Associates LLC ("Vista"). Mr. Selzer serves as the manager of Vista.
This Form is being filed to report the exercise of a common stock purchase warrant pursuant to which the Reporting Person received shares of common stock by means of a cashless exercise. A cashless exercise is a method of exercising a common stock purchase warrant in which the holder pays the exercise price to the Company using shares of common stock the Reporting Person would have received pursuant to the common stock purchase warrant exercise. As a result of this cashless exercise, the Reporting Person exercised a common stock purchase warrant to acquire 1,000,000 shares of common stock at an exercise price of $0.10 per share on a cashless basis receiving on a net basis 230,769 shares of common stock which reflects 769,231 shares of common stock withheld by the Company at the market price of $0.13 per share less the exercise price of $0.10 per share.
/s/ Herbert M. Selzer
2020-09-14