0001213900-22-037222.txt : 20220705
0001213900-22-037222.hdr.sgml : 20220705
20220705162555
ACCESSION NUMBER: 0001213900-22-037222
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220630
FILED AS OF DATE: 20220705
DATE AS OF CHANGE: 20220705
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Gorriz Michael A
CENTRAL INDEX KEY: 0001868845
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40747
FILM NUMBER: 221065262
MAIL ADDRESS:
STREET 1: 18 KING ALBERT PARK
CITY: SINGAPORE
STATE: U0
ZIP: 596137
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
2022-06-30
0
0001534154
Ipsidy Inc.
AUID
0001868845
Gorriz Michael A
C/O IPSIDY INC.
670 LONG BEACH BLVD.
LONG BEACH
NY
11561
1
0
0
0
Common Stock, $.0001 par value
2022-06-30
4
M
0
915
2.99
A
1226
D
Senior Secured Convertible Note
3.70
2022-03-21
2025-03-21
Common Stock, $0.0001 par value per share
27027
27027
D
Stock Options
15.16
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.
The reporting person received 915 shares of common stock at a per share price of $2.99 as payment of interest for the quarter ended June 30, 2022 associated with the Senior Secured Convertible Note dated March 21, 2022.
/s/ Michael A. Gorriz
2022-07-05