0001209191-22-044999.txt : 20220809 0001209191-22-044999.hdr.sgml : 20220809 20220809163100 ACCESSION NUMBER: 0001209191-22-044999 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220621 FILED AS OF DATE: 20220809 DATE AS OF CHANGE: 20220809 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: 221148801 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 2022-06-21 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) 23.65 2022-06-21 4 A 0 9141 0.00 A 2032-06-21 Class A common stock, par value $0.0001 per share 9141 9141 D The options will vest in full 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 2022-08-09