0001615774-18-000851.txt : 20180205
0001615774-18-000851.hdr.sgml : 20180205
20180205170029
ACCESSION NUMBER: 0001615774-18-000851
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20180202
FILED AS OF DATE: 20180205
DATE AS OF CHANGE: 20180205
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: STERN THEODORE
CENTRAL INDEX KEY: 0000935991
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-54545
FILM NUMBER: 18575024
MAIL ADDRESS:
STREET 1: EXECUTIVE ASSOCIATES
STREET 2: ONE PPG PLACE, SUITE 2970
CITY: PITTSBURGH
STATE: PA
ZIP: 15222
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: 780 LONG BEACH BLVD.
CITY: LONG BEACH
STATE: NY
ZIP: 11561
BUSINESS PHONE: (407) 951-8640
MAIL ADDRESS:
STREET 1: 780 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
s108926_4.xml
OWNERSHIP DOCUMENT
X0306
4
2018-02-02
0
0001534154
Ipsidy Inc.
IDTY
0000935991
STERN THEODORE
ONE PPG PLACE
SUITE 2970
PITTSBURGH
PA
15222
1
0
0
0
Common Stock, $0.0001 par value per share
2018-02-02
4
G
0
9229223
0
D
6266667
D
Common Stock Purchase Warrant
.10
2016-04-19
2021-04-19
Common Stock
1000000
1000000
D
Interest Shares
.20
2017-01-31
Common Stock
1400000
1400000
I
See Footnote
1,400,000 shares of common stock that may be issued upon the conversion of interest accrued at $0.20 per share as of December 31, 2017 under that certain Unsecured Promissory Note due January 31, 2019 in the principal amount of $3,000,000 issued to the Theodore Stern Revocable Trust.
On January 26, 2018, Theodore Stern gifted 9,229,223 shares of common stock to Andrew A. Stern and Jonathan M. Stern in their capacity as the Trustees of the 2000 Irrevocable Trust for Family of Theodore and Elizabeth S. Stern. The gifted shares are subject to a lock-up and may not be offered, sold, pledged, transferred or otherwise disposed of for a period of one year from the date of grant.
/s/Theodore Stern
2018-02-02