0001493152-21-008590.txt : 20210412
0001493152-21-008590.hdr.sgml : 20210412
20210412211423
ACCESSION NUMBER: 0001493152-21-008590
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210408
FILED AS OF DATE: 20210412
DATE AS OF CHANGE: 20210412
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Nissensohn Carlos Jaime
CENTRAL INDEX KEY: 0001745012
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-09047
FILM NUMBER: 21821826
MAIL ADDRESS:
STREET 1: TRAVESA DE PRAIA 128
CITY: PRAIA DA LUZ
STATE: S1
ZIP: 8600
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: OMNIQ Corp.
CENTRAL INDEX KEY: 0000278165
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER INTEGRATED SYSTEMS DESIGN [7373]
IRS NUMBER: 020314487
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 1865 WEST 2100 SOUTH
CITY: SALT LAKE CITY
STATE: UT
ZIP: 84119
BUSINESS PHONE: 800-242-7272
MAIL ADDRESS:
STREET 1: 1865 WEST 2100 SOUTH
CITY: SALT LAKE CITY
STATE: UT
ZIP: 84119
FORMER COMPANY:
FORMER CONFORMED NAME: Quest Solution, Inc.
DATE OF NAME CHANGE: 20140813
FORMER COMPANY:
FORMER CONFORMED NAME: AMERIGO ENERGY, INC.
DATE OF NAME CHANGE: 20081112
FORMER COMPANY:
FORMER CONFORMED NAME: STRATEGIC GAMING INVESTMENTS, INC.
DATE OF NAME CHANGE: 20060501
4
1
ownership.xml
X0306
4
2021-04-08
0
0000278165
OMNIQ Corp.
OMQS
0001745012
Nissensohn Carlos Jaime
C/O OMNIQ CORP. 1865 WEST 2100 SOUTH
SALT LAKE CITY,
UT
84119
0
0
1
0
Common Stock
2021-04-08
2021-04-08
4
M
0
57026
2.20
A
786334
I
See Footnote
Warrants
2.20
2021-04-08
4
M
0
75000
D
2021-08-02
Common Stock
75000
0
D
The warrants exercised herein reflect the cashless exercise of certain warrants scheduled to expire on August 2, 2021. In connection with a Consulting Agreement, 1,500,000 warrants were granted to Mr. Nissensohn on August 2, 2017. Following the Company's 1-for-20 reverse stock split of its common stock, effective, November 20, 2019, the number of warrants to be exercised is 75,000. Following the net exercise, Mr. Nissensohn has no more options from the August 2017 grant.
Upon exercise, the underlying net warrants convert into shares of the issuer's common stock on a one-for-one basis, after giving effect to the 20:1 reverse stock split.
Prior to the transaction reported herein, 729,308 shares of the issuer's common shares were held by Campbeltown Consulting Ltd., which is beneficially owned by Mr. Nissensohn.
/s/ Carlos Jaime Nissensohn
2021-04-12