0001209191-21-010096.txt : 20210212 0001209191-21-010096.hdr.sgml : 20210212 20210212160637 ACCESSION NUMBER: 0001209191-21-010096 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210211 FILED AS OF DATE: 20210212 DATE AS OF CHANGE: 20210212 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: 21627239 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 2021-02-11 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) 34.20 2021-02-11 4 A 0 10000 0.00 A 2031-02-11 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 Bertke 2021-02-12