0001615774-18-002067.txt : 20180323 0001615774-18-002067.hdr.sgml : 20180323 20180323093924 ACCESSION NUMBER: 0001615774-18-002067 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180322 FILED AS OF DATE: 20180323 DATE AS OF CHANGE: 20180323 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: 18708586 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: 516-274-8700 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 s109442_4.xml 4 X0306 4 2018-03-22 0 0001534154 Ipsidy Inc. IDTY 0000935991 STERN THEODORE 220 NORTH BELLEFIELD AVENUE, UNIT 1101 PITTSBURGH PA 15213 1 0 0 0 Common Stock, $0.0001 par value per share 2018-03-20 4 A 0 240000 0.30 A 6506667 D Common Stock Purchase Warrant .10 2016-04-19 2021-04-19 Common Stock, $0.0001 par value per share 1000000 1000000 D Interest Shares .20 2017-01-31 Common Stock, $0.0001 par value per share 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. /s/Theodore Stern 2018-03-22