0001213900-21-025129.txt : 20210507 0001213900-21-025129.hdr.sgml : 20210507 20210507161139 ACCESSION NUMBER: 0001213900-21-025129 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210505 FILED AS OF DATE: 20210507 DATE AS OF CHANGE: 20210507 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: 21902757 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 2021-05-05 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 5594714 D Common Stock, $.0001 par value 2417778 I See Footnotes Stock Options 0.24 2021-05-05 4 A 0 1645521 0 A 2021-05-05 2031-05-05 Common Stock, $0.0001 par value per share 1645521 1645521 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. On May 5, 2021, the Company granted Mr. Selzer a Non-Statutory Option to acquire 1,645,521 shares of common stock at an exercise price of $0.24 per share with 973,880 shares vesting upon grant of Non-Statutory Option and 671,641 shares of common stock underlying the stock options vesting over twelve months. /s/ Herbert M. Selzer 2021-05-07