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