0001213900-22-014523.txt : 20220323 0001213900-22-014523.hdr.sgml : 20220323 20220323170034 ACCESSION NUMBER: 0001213900-22-014523 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220321 FILED AS OF DATE: 20220323 DATE AS OF CHANGE: 20220323 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: STOLLER STUART CENTRAL INDEX KEY: 0001212731 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40747 FILM NUMBER: 22763776 MAIL ADDRESS: STREET 1: C/O THE NEW YORK TIMES CO STREET 2: 229 WEST 43RD ST CITY: NEW YORK STATE: NY ZIP: 10036 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 2022-03-21 0 0001534154 Ipsidy Inc. AUID 0001212731 STOLLER STUART C/O IPSIDY INC. 670 LONG BEACH BLVD. LONG BEACH NY 11561 0 1 0 0 Chief Financial Officer Common Stock, $.0001 par value 2022-03-21 4 A 0 155 3.22 A 82239 D Senior Secured Convertible Note 3.70 2022-03-21 4 A 0 50000 50000 A 2022-03-21 2025-03-21 Common Stock, $0.0001 par value per share 13514 13514 D Stock Options 7.20 2021-05-05 2031-05-05 Common Stock, $0.0001 par value per share 100000 100000 D Stock Options 2.775 2020-10-07 2030-10-07 Common Stock, $0.0001 par value per share 83333 83333 D Stock Options 3.00 2017-01-31 2027-01-31 Common Stock, $0.0001 par value per share 166667 166667 D Upon acquiring the Senior Secured Convertible Note, the reporting person was issued an origination fee in shares of common stock equal to 1.0% of the original principal amount of the reporting person's Senior Secured Convertible Notes with the value of each such share being the arithmetic average of the volume weighted average price of the Common Stock for each of the ten trading days immediately preceding the effective date. The Stock Options vest with respect to one-third of the shares of common stock on each of October 7, 2021, 2022 and 2023 subject to Mr. Stoller's continued employment. Shares of common stock underlying the stock options vest one third on each anniversary of grant subject to continued service to Ipsidy Inc. and subject to a prior Change of Control. /s/ Stuart Stoller 2022-03-23