0001493152-21-017114.txt : 20210716 0001493152-21-017114.hdr.sgml : 20210716 20210716180849 ACCESSION NUMBER: 0001493152-21-017114 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210715 FILED AS OF DATE: 20210716 DATE AS OF CHANGE: 20210716 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Nissenson Neev CENTRAL INDEX KEY: 0001429875 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-09047 FILM NUMBER: 211096459 MAIL ADDRESS: STREET 1: 42 CARRY WAY CITY: CARSON CITY STATE: NV ZIP: 89521 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 2021-07-15 0 0000278165 OMNIQ Corp. OMQS 0001429875 Nissenson Neev C/O OMNIQ CORP. 1865 WEST 2100 SOUTH SALT LAKE CITY UT 84119 1 1 0 0 Chief Financial Officer Common Stock 2021-07-15 2021-07-15 4 M 0 17288 2.20 A 29189 D Stock Option (right to buy) 2.20 2021-07-15 2021-07-15 4 M 0 22500 D 2021-08-02 Common stock 17288 0 D The stock options exercised herein reflect the cashless exercise of certain options scheduled to expire on August 2, 2021. In connection with the Company's 2014 Option Plan, 500,000 stock options were granted to Mr. Nissenson 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 options is 25,000. On April 8, 2021, Mr. Nissenson exercised 2,500 options on a cashless basis. For this transaction, the number of options to be exercised by Mr. Nissenson is 22,500. Following the net exercise, Mr. Nissenson will have 0 remaining options from the grant on August 2, 2017. Upon exercise, the underlying net options 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, Mr. Nissenson directly held 11,901 shares of the issuer's common stock. /s/ Neev Nissenson 2021-07-16