0001437749-21-021165.txt : 20210830 0001437749-21-021165.hdr.sgml : 20210830 20210830151020 ACCESSION NUMBER: 0001437749-21-021165 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210826 FILED AS OF DATE: 20210830 DATE AS OF CHANGE: 20210830 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: JOHNSON JACK L JR CENTRAL INDEX KEY: 0001854449 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-22405 FILM NUMBER: 211223182 MAIL ADDRESS: STREET 1: C/O INFORATION ANALYSIS INCORPORATED STREET 2: 11240 WAPLES MILL RD STE 201 CITY: FAIRFAX STATE: VA ZIP: 22030 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 FORM 4 JOHNSON 210826 X0306 4 2021-08-26 0000803578 INFORMATION ANALYSIS INC IAIC 0001854449 JOHNSON JACK L JR % INFORMATION ANALYSIS INC 12015 LEE JACKSON MEMORIAL HWY STE 210 FAIRFAX VA 22033 1 Common Stock 2021-08-26 4 A 0 35000 2 A 55000 D Warrants (right-to-buy) 3 2021-08-26 4 A 0 35000 2.70 A 2021-08-26 2026-08-26 Common Stock 35000 55000 D Mr. Johnson purchased 35,000 units in a private placement at $2.00 per unit. One unit equals 1 share common stock and a warrant to purchase 1 additional share common stock at $3.00 per share, expiring August 31, 2026. /s/ MATTHEW T SANDS 2021-08-30