0001835378-22-000052.txt : 20220422 0001835378-22-000052.hdr.sgml : 20220422 20220422162403 ACCESSION NUMBER: 0001835378-22-000052 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220308 FILED AS OF DATE: 20220422 DATE AS OF CHANGE: 20220422 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Chalozin Tal CENTRAL INDEX KEY: 0001895980 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40048 FILM NUMBER: 22845884 MAIL ADDRESS: STREET 1: C/O INNOVID, INC. STREET 2: 30 IRVING PLACE, 12TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10003 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Innovid Corp. CENTRAL INDEX KEY: 0001835378 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 30 IRVING PLACE, 12TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10003 BUSINESS PHONE: 2129667555 MAIL ADDRESS: STREET 1: 30 IRVING PLACE, 12TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10003 FORMER COMPANY: FORMER CONFORMED NAME: ION Acquisition Corp 2 Ltd. DATE OF NAME CHANGE: 20201207 4 1 wf-form4_165065901352973.xml FORM 4 X0306 4 2022-03-08 0 0001835378 Innovid Corp. CTV 0001895980 Chalozin Tal C/O INNOVID CORP 30 IRVING PLACE, 12TH FLOOR NEW YORK NY 10003 0 1 0 0 Chief Technology Officer Common Stock 2022-03-08 4 A 0 65000 0 A 2314674 D Common Stock 1203527 I By Family Trust #1 Common Stock 1203527 I By Family Trust #2 Represents restricted stock units subject to a three-year vesting period from a vesting date of January 1, 2022 with one year cliff vesting and quarterly vesting thereafter. Each restricted stock unit represents a contingent right to receive one share of Innovid Corp's Common Stock. /s/ Nabilah Irshad, Attorney-in-fact 2022-04-22