0001615774-18-008297.txt : 20180817
0001615774-18-008297.hdr.sgml : 20180817
20180817161353
ACCESSION NUMBER: 0001615774-18-008297
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20180815
FILED AS OF DATE: 20180817
DATE AS OF CHANGE: 20180817
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: 181025924
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
s112171_form4.xml
4
X0306
4
2018-08-15
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
2018-08-15
4
A
0
6666667
0.15
A
8166667
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
1577500
1577500
I
See Footnote
1,577,500 shares of common stock that may be issued upon the conversion of interest accrued at $0.20 per share as of August 9, 2018 under that certain Unsecured Promissory Note in the principal amount as of the date hereof $2,000,000 (the "Note") issued to the Theodore Stern Revocable Trust (the "Trust").
On August 15, 2018, the Trust acquired 6,666,667 shares of common stock.
/s/ Theodore Stern
2018-08-17