0001437749-20-021128.txt : 20201014 0001437749-20-021128.hdr.sgml : 20201014 20201014115202 ACCESSION NUMBER: 0001437749-20-021128 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20201012 FILED AS OF DATE: 20201014 DATE AS OF CHANGE: 20201014 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: DEROSE RICHARD S CENTRAL INDEX KEY: 0001238392 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-22405 FILM NUMBER: 201238566 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: INFORMATION ANALYSIS INC CENTRAL INDEX KEY: 0000803578 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372] IRS NUMBER: 541167364 STATE OF INCORPORATION: VA FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 11240 WAPLES MILL RD STREET 2: SUITE 201 CITY: FAIRFAX STATE: VA ZIP: 22030 BUSINESS PHONE: 7033833000 MAIL ADDRESS: STREET 1: 11240 WAPLES MILL RD STREET 2: SUITE 201 CITY: FAIRFAX STATE: VA ZIP: 22030 4 1 rdgdoc.xml DEROSE FORM 4 20201012 X0306 4 2020-10-12 0000803578 INFORMATION ANALYSIS INC IAIC 0001238392 DEROSE RICHARD S C/O INFORMATION ANALYSIS INCORPORATED 11240 WAPLES MILL RD STE 201 FAIRFAX VA 22030 1 Executive VP Common Stock 2020-10-12 4 X 0 50000 0.20 A 265345 D Options (Right to buy) 0.20 2020-10-12 4 X 0 50000 D 2011-05-01 2020-11-01 Common Stock 50000 240000 D Per Instruction 4.(c)(iii), Since the transaction is the exercise of a derivative security, column 8 is left blank and the exercise price is reported in column 2. Table I and Table II reflect the exercise of options to purchase 50,000 shares of Common Stock at an exercise price of $0.20 per share. /s/ Matthew T. Sands 2020-10-14