0001209191-20-010312.txt : 20200218
0001209191-20-010312.hdr.sgml : 20200218
20200218174630
ACCESSION NUMBER: 0001209191-20-010312
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20200213
FILED AS OF DATE: 20200218
DATE AS OF CHANGE: 20200218
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: BERTKE ROBERT
CENTRAL INDEX KEY: 0001737502
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38532
FILM NUMBER: 20626652
MAIL ADDRESS:
STREET 1: 40 BURTON HILLS BOULEVARD, SUITE 415
CITY: NASHVILLE
STATE: TN
ZIP: 37215
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: i3 Verticals, Inc.
CENTRAL INDEX KEY: 0001728688
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-BUSINESS SERVICES, NEC [7389]
IRS NUMBER: 824052852
STATE OF INCORPORATION: DE
FISCAL YEAR END: 0930
BUSINESS ADDRESS:
STREET 1: 40 BURTON HILLS BLVD.
STREET 2: SUITE 415
CITY: NASHVILLE
STATE: TN
ZIP: 37215
BUSINESS PHONE: 800-203-7981
MAIL ADDRESS:
STREET 1: 40 BURTON HILLS BLVD.
STREET 2: SUITE 415
CITY: NASHVILLE
STATE: TN
ZIP: 37215
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2020-02-13
0
0001728688
i3 Verticals, Inc.
IIIV
0001737502
BERTKE ROBERT
40 BURTON HILLS BLVD.
SUITE 415
NASHVILLE
TN
37215
0
1
0
0
Chief Technology Officer
Stock Option (Right to Buy)
32.25
2020-02-13
4
A
0
32000
0.00
A
2030-02-13
Class A common stock, par value $0.0001 per share
32000
32000
D
The option vests ratably in three equal annual installments beginning on the first anniversary of the grant date, subject to the Reporting Person's continued service with the Issuer.
/s/ Paul Maple, Attorney-in-Fact for Robert Bertke
2020-02-18