0001213900-22-058039.txt : 20220922 0001213900-22-058039.hdr.sgml : 20220922 20220922164910 ACCESSION NUMBER: 0001213900-22-058039 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220920 FILED AS OF DATE: 20220922 DATE AS OF CHANGE: 20220922 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Broenniman Philip R CENTRAL INDEX KEY: 0001781770 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40747 FILM NUMBER: 221259768 MAIL ADDRESS: STREET 1: C/O CSS INDUSTRIES, INC. STREET 2: 450 PLYMOUTH ROAD, SUITE 300 CITY: PLYMOUTH MEETING STATE: PA ZIP: 19462 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: authID 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: 1325 S. COLORADO BLVD. STREET 2: BUILDING A, SUITE 322 CITY: DENVER STATE: CO ZIP: 80222 BUSINESS PHONE: 516-274-8700 MAIL ADDRESS: STREET 1: 1624 MARKET ST. STE 226 STREET 2: UNIT 51767 CITY: DENVER STATE: CO ZIP: 80202-1559 FORMER COMPANY: FORMER CONFORMED NAME: Ipsidy Inc. DATE OF NAME CHANGE: 20170206 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 4 1 ownership.xml X0306 4 2022-09-20 0 0001534154 authID Inc. AUID 0001781770 Broenniman Philip R C/O AUTHID INC. 1325 S. COLORADO BLVD., BUILDING A, SUITE 322 DENVER CO 80222 1 0 0 0 Common Stock, $.0001 par value 173973 D Common Stock, $.0001 par value 353087 I See footnote Stock Options 3.03 2022-09-20 4 A 0 34966 3.03 A 2022-09-20 2032-09-20 Common Stock, $0.0001 par value per share 34966 34966 D Senior Secured Convertible Note 3.70 2022-03-21 2025-03-21 Common Stock, $0.0001 par value per share 270270 270270 I See Footnotes 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 7.20 2021-05-05 2031-05-05 Common Stock, $0.0001 par value per share 388744 388744 D Stock Options 2.10 2020-05-22 2025-05-22 Common Stock, $0.0001 par value per share 555556 555556 D Warrants 4.95 2018-08-15 2023-08-15 Common Stock, $0.0001 par value per share 11667 11667 D Warrants 2.64 2019-06-24 2024-06-23 Common Stock, $0.0001 par value per share 8750 8750 D Mr. Broenniman is the Managing Partner of Varana Capital, LLC ("Varana Capital"), which, in turn, is the investment manager of and has dispositive control over the shares held by Varana Capital Focused, LP ("VCFLP"). By virtue of these relationships, in addition to the shares he holds personally, Mr. Broenniman may be deemed to beneficially own the shares held by Varana Capital Focused, LP. The shares vest monthly in equal amounts over a one-year period. 383,334 of the shares vest upon meeting performance criteria. /s/ Philip R. Broenniman 2022-09-22