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