0001493152-21-017584.txt : 20210722
0001493152-21-017584.hdr.sgml : 20210722
20210722203722
ACCESSION NUMBER: 0001493152-21-017584
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210720
FILED AS OF DATE: 20210722
DATE AS OF CHANGE: 20210722
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Shalem Yaron
CENTRAL INDEX KEY: 0001716133
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-09047
FILM NUMBER: 211108821
MAIL ADDRESS:
STREET 1: 5 YISHAYAHU,
STREET 2: AURECH STREET,
CITY: TEL AVIV,
STATE: L3
ZIP: 00000
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
2021-07-20
0
0000278165
OMNIQ Corp.
OMQS
0001716133
Shalem Yaron
C/O OMNIQ CORP.
1865 WEST 2100 SOUTH
SALT LAKE CITY
UT
84119
1
0
0
0
Common Stock
2021-07-20
2021-07-20
4
M
0
19025
2.20
A
19025
D
Stock Option (right to buy)
2.20
2021-07-20
2021-07-20
4
M
0
25000
D
2021-08-02
Common stock
19025
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. Shalem 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 in the stock option grant is 25,000. For this transaction, the number of options to be exercised by Mr. Shalem is 25,000. Following the net exercise, Mr. Shalem will have 0 remaining options from this class of options within the August 2, 2017 stock option grant.
Upon exercise, the underlying net options convert into shares of the issuer's common stock on a one-for-one basis.
/s/ Yaron Shalem
2021-07-22