0001213900-21-045388.txt : 20210827
0001213900-21-045388.hdr.sgml : 20210827
20210827165332
ACCESSION NUMBER: 0001213900-21-045388
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210826
FILED AS OF DATE: 20210827
DATE AS OF CHANGE: 20210827
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Koehneman Michael L
CENTRAL INDEX KEY: 0001818801
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40747
FILM NUMBER: 211219846
MAIL ADDRESS:
STREET 1: 276 FIFTH AVENUE
STREET 2: SUITE 505
CITY: NEW YORK
STATE: NY
ZIP: 10001
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
OWNERSHIP DOCUMENT
X0306
4
2021-08-26
0
0001534154
Ipsidy Inc.
AUID
0001818801
Koehneman Michael L
C/O IPSIDY INC.
670 LONG BEACH BLVD.
LONG BEACH
NY
11561
1
0
0
0
Common Stock, $.0001 par value
2021-08-26
4
P
0
1000
7.00
A
2000
D
Common Stock, $.0001 par value
2021-08-26
4
P
0
1000
7.00
A
2000
I
Shares held by Mr. Koehneman wife, Karen Koehneman
Stock Options
7.80
2021-06-09
2031-06-09
Common Stock, $0.0001 par value per share
62500
62500
D
The shares vest annually in equal amounts over a three-year period.
/s/ Michael L. Koehneman
2021-08-27