0001615774-18-003156.txt : 20180502
0001615774-18-003156.hdr.sgml : 20180502
20180502103901
ACCESSION NUMBER: 0001615774-18-003156
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20180430
FILED AS OF DATE: 20180502
DATE AS OF CHANGE: 20180502
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: 18798013
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
s109914_form4.xml
4
X0306
4
2018-04-30
0
0001534154
Ipsidy Inc.
IDTY
0000935991
STERN THEODORE
220 N. BELLEFIELD AVE., UNIT 1101
PITTSBURGH
PA
15213
1
0
0
0
Common Stock, $0.0001 par value per share
6506667
D
Common Stock, $0.0001 par value per share
2018-04-30
4
A
0
1500000
0.28
A
1500000
I
See Footnote
Common Stock Purchase Warrant
0.10
2016-04-19
2021-04-19
Common Stock, $0.0001 par value per share
1000000
1000000
D
Interest Shares
0.20
2017-01-31
Common Stock, $0.0001 par value per share
1875000
1875000
I
See Footnote
1,875,000 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 in the principal amount of $3,000,000 (the "Note") issued to the Theodore Stern Revocable Trust (the "Trust").
On April 30, 2018, in consideration of extending the maturity date of the Note held by the Trust to April 30, 2020 and other consideration, the Company issued the Trust 1,500,000 shares of common stock.
/s/ Theodore Stern
2018-05-02