0001213900-22-022341.txt : 20220428 0001213900-22-022341.hdr.sgml : 20220428 20220428165505 ACCESSION NUMBER: 0001213900-22-022341 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220418 FILED AS OF DATE: 20220428 DATE AS OF CHANGE: 20220428 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Garchik Stephen Jeffrey CENTRAL INDEX KEY: 0001710737 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40747 FILM NUMBER: 22867670 MAIL ADDRESS: STREET 1: 880 DOVER STREET CITY: BOCA RATON STATE: FL ZIP: 33487 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 3 1 ownership.xml X0206 3 2022-04-18 0 0001534154 Ipsidy Inc. AUID 0001710737 Garchik Stephen Jeffrey 2474 SOUTH OCEAN BOULEVARD HIGHLAND BEACH FL 33487 0 0 0 1 Director by Deputization Common Stock 2002003 D Common Stock 166667 I See Footnotes Common Stock 11667 I See Footnotes Common Stock 89306 I See Footnotes Common Stock Purchase Warrant 4.50 2020-11-06 2025-11-06 Common Stock 83334 I See footnotes Common Stock Purchase Warrant 4.50 2020-06-30 2022-06-30 Common Stock 40660 I See footnotes Convertible Notes 3.70 2022-03-21 2025-03-21 Common Stock 270271 D Stephen J. Garchik ("Mr. Garchik") disclaims beneficial ownership of any and all of the Issuer's securities reported herein in excess of its actual pecuniary interest. Held by the Garchik Irrevocable 2019 Trust (the "2019 Trust") of which Mr. Garchik is a trustee Held by Garchik Universal Limited Partnership, which Mr. Garchik jointly controls with his sister. Held by Marla Garchik Irrevocable 2020 Trust (the "2020 Trust") of which Mr. Garchik is a beneficiary. Held by the 2019 Trust. Held by the 2020 Trust. Mr. Garchik may be deemed to be a director by deputization for purposes of Section 16 under the Securities Exchange Act of 1934 by virtue of the fact that pursuant to a Facility Agreement (the "Facility Agreement") entered into between the Issuer and Mr. Garchik, Mr. Garchik is entitled to nominate one designee to the Issuer's board of directors until such time as all amounts due pursuant to the Facility Agreement are repaid in full. /s/ Stephen J. Garchik 2022-04-28