0001213900-23-011802.txt : 20230215 0001213900-23-011802.hdr.sgml : 20230215 20230215062115 ACCESSION NUMBER: 0001213900-23-011802 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230214 FILED AS OF DATE: 20230215 DATE AS OF CHANGE: 20230215 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Bush Richard CENTRAL INDEX KEY: 0001965804 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-41626 FILM NUMBER: 23633559 MAIL ADDRESS: STREET 1: 180 MAIDEN LANE STREET 2: 11TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10005 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: NYIAX, INC. CENTRAL INDEX KEY: 0001679379 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER PROCESSING & DATA PREPARATION [7374] IRS NUMBER: 460547534 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 244 5TH AVENUE STREET 2: SUITE 2669 CITY: NEW YORK STATE: NY ZIP: 10001 BUSINESS PHONE: 4156027855 MAIL ADDRESS: STREET 1: 244 5TH AVENUE STREET 2: SUITE 2669 CITY: NEW YORK STATE: NY ZIP: 10001 3 1 ownership.xml X0206 3 2023-02-14 0 0001679379 NYIAX, INC. NYX 0001965804 Bush Richard C/O NYIAX, INC. 180 MAIDEN LANE, 11TH FLOOR NEW YORK NY 10005 0 1 0 0 Chief of Staff Stock Options 3.30 2026-10-02 Common Stock 85000 D Stock Options 5.00 2028-01-01 Common Stock 100000 D On October 2, 2016 the Reporting Person was issued incentive stock options to purchase 85,000 shares of common stock of the Issuer with 28,334 options vesting immediately as of October 2, 2017 and 56,666 options vesting in 1/24 equal increments per month starting from October 2, 2017. These options are fully vested and exercisable. On January 1, 2018 the Reporting Person was issued incentive stock options to purchase 100,000 shares of common stock of the Issuer with 333,33 options vesting on January 1, 2019 and 66,667 options vesting at a rate of 2,778 options per month thereafter. /s/ Richard Bush 2023-02-15