0001209191-20-038369.txt : 20200623
0001209191-20-038369.hdr.sgml : 20200623
20200623113020
ACCESSION NUMBER: 0001209191-20-038369
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20200622
FILED AS OF DATE: 20200623
DATE AS OF CHANGE: 20200623
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: HARVEY ROBERT BURTON
CENTRAL INDEX KEY: 0001738212
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38532
FILM NUMBER: 20980984
MAIL ADDRESS:
STREET 1: 40 BURTON HILLS BOULEVARD, SUITE 415
CITY: NASHVILLE
STATE: TN
ZIP: 37215
FORMER NAME:
FORMER CONFORMED NAME: BURTON ROBERT HARVEY
DATE OF NAME CHANGE: 20180420
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
2020-06-22
0
0001728688
i3 Verticals, Inc.
IIIV
0001738212
HARVEY ROBERT BURTON
40 BURTON HILLS BLVD.
SUITE 415
NASHVILLE
TN
37215
1
0
0
0
Stock Option (Right to Buy)
29.69
2020-06-22
4
A
0
10000
0.00
A
2030-06-22
Class A common stock, par value $0.0001 per share
10000
10000
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 Burton Harvey
2020-06-23