0001213900-23-012241.txt : 20230215
0001213900-23-012241.hdr.sgml : 20230215
20230215201047
ACCESSION NUMBER: 0001213900-23-012241
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: Kuzemchik Vladislav
CENTRAL INDEX KEY: 0001965805
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-41626
FILM NUMBER: 23636888
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
OWNERSHIP DOCUMENT
X0206
3
2023-02-14
0
0001679379
NYIAX, INC.
NYX
0001965805
Kuzemchik Vladislav
C/O NYIAX, INC.
180 MAIDEN LANE, 11TH FLOOR
NEW YORK
NY
10005
0
1
0
0
Chief Architect of Technology
Stock Options
3.30
2028-06-18
Common Stock
25000
D
Stock Options
3.30
2030-04-01
Common Stock
5000
D
Stock Options
3.30
2030-09-28
Common Stock
20000
D
Stock Options
4.30
2030-09-28
Common Stock
5000
D
Stock Options
5.50
2032-11-01
Common Stock
25000
D
Stock Options
5.50
2032-04-01
Common Stock
1500
D
On June 18, 2018, the Reporting Person was issued stock options to purchase 25,000 shares of common stock of the Issuer with 8,334 options vesting immediately as of October 18, 2018 and 16,666 options vesting in 1/24 equal increments per month from October 18, 2018.
These options are fully vested and exercisable.
On April 1, 2020, the Reporting Person was issued stock options to purchase 5,000 shares of common stock of the Issuer with all 5,000 options vesting as of June 1, 2020.
On October 1, 2020, the Reporting Person was issued stock options to purchase 20,000 shares of common stock of the Issuer with 1,666 options vesting immediately as of October 1, 2020 and 18,333 options vesting in 1,666 options per month increments thereafter.
On October 1, 2020, the Reporting Person was issued stock options to purchase 5,000 shares of common stock of the Issuer with 416.66 options vesting immediately as of October 1, 2020 and approximately 4,583 options vesting in 416.66 options per month increments thereafter.
On April 27, 2022, the Reporting Person was issued stock options to purchase 25,000 shares of common stock of the Issuer vesting (at a rate of 1/48 of the total award of 25,000 options) over a four-year period with twelve months vesting on November 11, 2022 and vesting continuing monthly thereafter, until the stock option award is fully vested.
The stock options vest (at a rate of 1/48 of the total award of 25,000 options) over a four-year period with twelve months vesting on November 11, 2022 and vesting continuing monthly thereafter, until fully vested.
On April 27, 2022, the Reporting Person was issued stock options to purchase 1,500 shares of common stock of the Issuer vesting (at a rate of 1/48 of the total award of 1,500 options) over a four-year period with twelve months vesting on January 1, 2023 and vesting continuing monthly thereafter, until the stock option award is fully vested.
The stock options vest (at a rate of 1/48 of the total award of 1,500 options) over a four-year period with twelve months vesting on January 1, 2023 and vesting continuing monthly thereafter, until fully vested.
/s/ Vladislav Kuzemchik
2023-02-15