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