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