0001718939-24-000057.txt : 20240426
0001718939-24-000057.hdr.sgml : 20240426
20240426080750
ACCESSION NUMBER: 0001718939-24-000057
CONFORMED SUBMISSION TYPE: 5/A
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20231231
FILED AS OF DATE: 20240426
DATE AS OF CHANGE: 20240426
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Gowasack Andrew Carl
CENTRAL INDEX KEY: 0001909027
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 5/A
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-41252
FILM NUMBER: 24878904
MAIL ADDRESS:
STREET 1: 4733, WOODLAND BROOK CT SE
CITY: ATLANTA
STATE: GA
ZIP: 30339
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: T Stamp Inc
CENTRAL INDEX KEY: 0001718939
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372]
ORGANIZATION NAME: 06 Technology
IRS NUMBER: 813777260
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 3423 PIEDMONT ROAD
CITY: ATLANTA
STATE: GA
ZIP: 30305
BUSINESS PHONE: 678-325-7835
MAIL ADDRESS:
STREET 1: 3017 BOLLING WAY NE, FLOORS 1 AND 2
CITY: ATLANTA
STATE: GA
ZIP: 30305
5/A
1
wk-form5a_1714133260.xml
FORM 5/A
X0508
5/A
2023-12-31
2024-02-12
0
0
1
0001718939
T Stamp Inc
IDAI
0001909027
Gowasack Andrew Carl
4733 WOODLAND BROOK CT SE
ATLANTA
GA
30339
1
1
0
0
President
0
Restricted Stock Units
0
2023-11-03
4
A
0
L
55719
0
A
2024-01-02
2024-05-10
Class A Common Stock, par value $0.01 per share
55719
62399
D
EACH RESTRICTED STOCK UNIT ("RSU") REPRESENTS A CONTINGENT RIGHT TO RECEIVE ONE SHARE OF COMMON STOCK UPON VESTING OF THE "RSU".
Number of Derivative Securities Acquired on 11/3/2023, initially reported in the Form 5 filed with the SEC on 02/12/2024 as 54,563, is being revised to reflect a correction made on 03/13/2024 to the Derivative Securities Acquired, due to a scrivener's error.
Amount Beneficially owned as of 12/31/2023, initially reported in the Form 5 filed with the SEC on 02/12/2024 as 61,243, is being revised to reflect the correction made to the Restricted Stock Units ("RSU") dated 11/3/2023.
/s/ Alexander Valdes on behalf of Andrew Gowasack through the Limited Power of Attorney dated 01/24/2022
2024-04-25