0001493152-23-007055.txt : 20230308 0001493152-23-007055.hdr.sgml : 20230308 20230308215645 ACCESSION NUMBER: 0001493152-23-007055 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230306 FILED AS OF DATE: 20230308 DATE AS OF CHANGE: 20230308 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: 001-40768 FILM NUMBER: 23718036 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 2023-03-06 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 2023-03-06 2023-03-06 4 M 0 10439 2.40 A 29464 D Stock Option (right to buy) 2.40 2023-03-06 2023-03-06 4 M 0 9561 D 2023-03-06 Common stock 10439 0 D The stock options exercised herein reflect the cashless exercise of certain options scheduled to expire on March 6, 2023. In connection with the Company's 2018 Option Plan, 20,000 stock options were granted to Mr. Shalem. On March 6, 2023, Mr. Shalem exercised 20,000 options on a cashless basis. For this transaction, the number of shares received by Mr. Shalem is 10,439. Following the net exercise, Mr. Shalem has no remaining options from the grant on March 6, 2018. The options were issued pursuant to a grant under the 2018 Equity Incentive Plan. Prior to the transaction reported herein, Mr. Shalem directly held 19,025 shares of the issuer's common stock. /s/ Yaron Shalem 2023-03-08