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