0001213900-22-038587.txt : 20220711
0001213900-22-038587.hdr.sgml : 20220711
20220711170012
ACCESSION NUMBER: 0001213900-22-038587
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220630
FILED AS OF DATE: 20220711
DATE AS OF CHANGE: 20220711
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Garchik Stephen Jeffrey
CENTRAL INDEX KEY: 0001710737
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40747
FILM NUMBER: 221077442
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
4
1
ownership.xml
X0306
4
2022-06-30
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
2022-06-30
4
M
0
13279
2.06
A
2015282
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
83334
I
See footnotes
Convertible Notes
3.70
2022-03-21
2025-03-21
Common Stock
270271
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.
The reporting person received 13,279 shares of common stock at a per share price of $2.06 as payment of interest for the quarter ended June 30, 2022 associated with the Senior Secured Convertible Note dated March 21, 2022.
/s/ Stephen Jeffrey Garchik
2022-07-11