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