0001213900-21-057714.txt : 20211109
0001213900-21-057714.hdr.sgml : 20211109
20211109160600
ACCESSION NUMBER: 0001213900-21-057714
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20211105
FILED AS OF DATE: 20211109
DATE AS OF CHANGE: 20211109
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Kumnick Phillip L
CENTRAL INDEX KEY: 0001796205
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40747
FILM NUMBER: 211392071
MAIL ADDRESS:
STREET 1: J549 QUAIL RIDGE LANE
STREET 2: PO BOX 564
CITY: ST. ALBANS
STATE: MT
ZIP: 63073
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
2021-11-05
0
0001534154
Ipsidy Inc.
AUID
0001796205
Kumnick Phillip L
C/O IPSIDY INC. 670 LONG BEACH BLVD.
LONG BEACH,
NY
11561
1
0
0
0
Common Stock, $.0001 par value
121425
D
Stock Options
7.20
2021-11-05
4
D
0
300000
D
2021-05-05
2031-05-05
Common Stock, $0.0001 par value per share
292351
292351
D
Stock Options
2.10
2020-05-22
2025-05-22
Common Stock, $0.0001 par value per share
1111111
1111111
D
Stock Options
1.65
2019-12-10
2029-12-10
Common Stock, $0.0001 par value per share
100000
100000
D
Includes the right to acquire 50,000 shares of common stock at par value subject to the certain vesting criteria which shares were granted on March 6, 2020 pursuant to a Restricted Stock Purchase Agreement.
On November 5, 2021, the Company and Mr. Kumnick entered into a letter agreement pursuant to which Mr. Kumnick agreed to cancel 300,000 shares of common stock under the Non-Statutory Option dated May 5, 2021 in consideration of removing certain service conditions.
/s/ Phillip Kumnick
2021-11-09