0001213900-22-000285.txt : 20220103 0001213900-22-000285.hdr.sgml : 20220103 20220103170012 ACCESSION NUMBER: 0001213900-22-000285 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211229 FILED AS OF DATE: 20220103 DATE AS OF CHANGE: 20220103 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: 22502826 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 X0306 4 2021-12-29 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 1000 D Common Stock, $.0001 par value 1000 I Shares held by Mr. Koehneman wife, Karen Koehneman Stock Options 15.16 2021-12-29 4 A 0 10238 15.16 A 2021-12-29 2031-12-29 Common Stock, $0.0001 par value per share 10238 10238 D 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. The shares vest monthly in equal amounts over a one-year period. /s/ Michael L. Koehneman 2022-01-03