0001213900-23-044220.txt : 20230531 0001213900-23-044220.hdr.sgml : 20230531 20230531080007 ACCESSION NUMBER: 0001213900-23-044220 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230403 FILED AS OF DATE: 20230531 DATE AS OF CHANGE: 20230531 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Jisser Ken CENTRAL INDEX KEY: 0001970225 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40747 FILM NUMBER: 23978989 MAIL ADDRESS: STREET 1: 1195 NIKULINA CT CITY: SAN JOSE STATE: CA ZIP: 95120 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 X0407 4 2023-04-03 0 0001534154 authID Inc. AUID 0001970225 Jisser Ken C/O AUTHID INC. 1385 S. COLORADO BLVD. BLDG A STE 322 DENVER CO 80222 1 0 0 0 0 Common Stock, $0.0001 par value per share 2023-05-26 4 P 0 100000 0.50 A 303800 D Common Stock, $0.0001 par value per share 2023-05-26 4 C 0 197015 0.515 A 203800 D Common Stock, $0.0001 par value per share 2023-05-26 4 J 0 815 2.99 A 6785 D Convertible Note 0.515 2023-05-26 4 C 0 101463 0 D Common Stock, $0.0001 par value per share 197015 0 D Stock Options 0.33 2023-03-14 2033-03-14 Common Stock, $0.0001 par value per share 100000 100000 D The reporting person received shares of common stock as payment of interest for each quarter associated with the Senior Secured Convertible Note dated March 21, 2022. On May 23, 2023, Mr. Jisser and the Company entered into an exchange agreement whereby Mr. Jisser exchanged the March 2022 Senior Secured Convertible Note in the amount of $101,463, which reflects principal and interest, for 197,015 shares of common stock at a per share price of $0.515. The shares vest annually in equal amounts over a three-year period. /s/ Ken Jisser 2023-05-31