0001437749-21-021173.txt : 20210830
0001437749-21-021173.hdr.sgml : 20210830
20210830152457
ACCESSION NUMBER: 0001437749-21-021173
CONFORMED SUBMISSION TYPE: 4/A
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: Pickle William Henry
CENTRAL INDEX KEY: 0001630303
FILING VALUES:
FORM TYPE: 4/A
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-22405
FILM NUMBER: 211223306
MAIL ADDRESS:
STREET 1: C/O INFORMATION 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/A
1
rdgdoc.xml
FORM 4/A PICKLE 210826
X0306
4/A
2021-08-26
2021-08-30
0000803578
INFORMATION ANALYSIS INC
IAIC
0001630303
Pickle William Henry
C/O INFORMATION ANALYSIS INCORPORATED
12015 LEE JACKSON MEMORIAL HWY STE 210
FAIRFAX
VA
22033
1
Common Stock
2021-08-26
4
A
0
65000
2
A
115000
I
Shares owned by William and Jean Pickle Trust under shared voting power and shared dispositive power
Warrants (right-to-buy)
3
2021-08-26
4
A
0
65000
2.70
A
2021-08-26
2026-08-31
Common Stock
65000
105000
I
65,000 Warrants owned by William and Jean Pickle Trust under shared voting and dispositive powers
Mr. Pickle purchased 65,000 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