0001213900-23-096506.txt : 20231218
0001213900-23-096506.hdr.sgml : 20231218
20231218161525
ACCESSION NUMBER: 0001213900-23-096506
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20231127
FILED AS OF DATE: 20231218
DATE AS OF CHANGE: 20231218
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Rios David F
CENTRAL INDEX KEY: 0001876430
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-55648
FILM NUMBER: 231493904
MAIL ADDRESS:
STREET 1: 14924 DIDUCA WAY
CITY: LOS GATOS
STATE: CA
ZIP: 95032
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Innovative Payment Solutions, Inc.
CENTRAL INDEX KEY: 0001591913
STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-CATALOG & MAIL-ORDER HOUSES [5961]
ORGANIZATION NAME: 07 Trade & Services
IRS NUMBER: 000000000
STATE OF INCORPORATION: NV
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 56B 5TH AVENUE, LOT 1 #AT
CITY: CARMEL BY THE SEA
STATE: CA
ZIP: 93921
BUSINESS PHONE: (866) 477-4729
MAIL ADDRESS:
STREET 1: 56B 5TH AVENUE, LOT 1 #AT
CITY: CARMEL BY THE SEA
STATE: CA
ZIP: 93921
FORMER COMPANY:
FORMER CONFORMED NAME: QPAGOS
DATE OF NAME CHANGE: 20160615
FORMER COMPANY:
FORMER CONFORMED NAME: Asiya Pearls, Inc.
DATE OF NAME CHANGE: 20131113
4
1
ownership.xml
X0508
4
2023-11-27
0
0001591913
Innovative Payment Solutions, Inc.
IPSI
0001876430
Rios David F
C/O INNOVATIVE PAYMENT SOLUTIONS, INC.
56B 5TH STREET LOT 1 #AT
CARMEL BY THE SEA,
CA
93921
1
0
0
0
0
Note Shares
0.345
2023-11-27
4
P
1
579710
0.345
A
2023-11-27
2024-11-27
Common Stock
579710
779710
D
Warrant Shares
0.345
2023-11-27
4
P
1
579710
0.345
A
2023-11-27
2024-11-27
Common Stock
579710
1359420
D
David Rios entered into a Convertible Promissory Note with Innovative Payment Solutions in the amount of $200,000, which is at any time convertible into shares of common stock at a conversion price of $0.345 per share.
The shares are held by the 1999 Rios Family Trust. David Rios is the Trustee of the 1999 Rios Family Trust.
The shares were issued pursuant to a common stock purchase warrant as part of a financing agreement by and between David Rios and Innovative Payment Solutions, Inc.
The shares are held by the 1999 Rios Family Trust. David Rios is the Trustee of the 1999 Rios Family Trust.
/s/ David Rios
2023-12-18