0001493152-22-005786.txt : 20220301 0001493152-22-005786.hdr.sgml : 20220301 20220301194328 ACCESSION NUMBER: 0001493152-22-005786 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220228 FILED AS OF DATE: 20220301 DATE AS OF CHANGE: 20220301 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Lustgarten Shai Shalom CENTRAL INDEX KEY: 0001590995 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40768 FILM NUMBER: 22700674 MAIL ADDRESS: STREET 1: 27, HAMETZUDA STREET CITY: AZOR STATE: L3 ZIP: 5800171 FORMER NAME: FORMER CONFORMED NAME: Lustgarten Shai DATE OF NAME CHANGE: 20131104 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 2022-02-28 0 0000278165 OMNIQ Corp. OMQS 0001590995 Lustgarten Shai Shalom C/O OMNIQ CORP. 1865 WEST 2100 SOUTH SALT LAKE CITY, UT 84119 1 1 1 0 Chief Executive Officer Restricted Shares 2022-02-28 4 A 0 40000 A 922631 I See footnote Stock Option (right to buy) 5.65 2022-02-28 4 A 0 140000 A 2027-03-01 Common Stock 140000 140000 D Restricted Shares 2022-02-28 4 A 0 40000 A Common Stock 40000 40000 D Each restricted share represents a contingent right to receive one share of the Issuer's common stock. 50% of the restricted shares vested on March 1, 2022, and 50% vest on March 1, 2023. Walefar Investments Ltd. holds 746,808 shares of the issuer's common stock, which is beneficially owned by Mr. Lustgarten. The stock options herein reflect grants to the Reporting Person pursuant to the OMNIQ Corp. 2021 Equity Incentive Plan. The stock options vest in even quarterly installments over 2 years and expire on March 1, 2027. Upon exercise, the underlying net options convert into shares of the issuer's common stock on a one-for-one basis. /s/ Shai Lustgarten 2022-03-01