0001437749-21-028577.txt : 20211214 0001437749-21-028577.hdr.sgml : 20211214 20211214172320 ACCESSION NUMBER: 0001437749-21-028577 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211210 FILED AS OF DATE: 20211214 DATE AS OF CHANGE: 20211214 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BENOIT GERALD JAMES JR CENTRAL INDEX KEY: 0001880436 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-41092 FILM NUMBER: 211492011 MAIL ADDRESS: STREET 1: %INFORMATION ANALYSIS INCORPORATED STREET 2: 12015 LEE JACKSON MEMORIAL HWY, STE 210 CITY: FAIRFAX STATE: VA ZIP: 22033 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: 12015 LEE JACKSON MEMORIAL HWY STREET 2: SUITE 210 CITY: FAIRFAX STATE: VA ZIP: 22033 BUSINESS PHONE: 7033833000 MAIL ADDRESS: STREET 1: 12015 LEE JACKSON MEMORIAL HWY STREET 2: SUITE 210 CITY: FAIRFAX STATE: VA ZIP: 22033 4 1 rdgdoc.xml FORM4_BENOIT_211210 X0306 4 2021-12-10 0000803578 INFORMATION ANALYSIS INC IAIC 0001880436 BENOIT GERALD JAMES JR C/O INFORMATION ANALYSIS INCORPORATED 12015 LEE JACKSON MEMORIAL HWY STE 210 FAIRFAX VA 22033 1 1 1 CEO Common Stock 2021-12-10 4 A 0 116645 3.04 A 866645 D Common Stock 2021-12-10 4 A 0 32895 3.04 A 899540 D Warrants (right-to-buy) 4.50 2021-12-10 4 A 0 23329 3.04 A 2023-01-01 2026-12-31 Common Stock 23329 803329 D Warrants (right-to-buy) 4.50 2021-12-10 4 A 0 6579 3.04 A 2023-01-01 2026-12-31 Common Stock 6579 809908 D Mr. Benoit purchased $354,600 of Units in a private placement transaction at $3.04/ Unit, which consisted of 116,645 shares of common stock and Warrants to purchase additional 23,329 shares of common stock. Unit price was based on the Volume Weighted Average Price per share for the five trading days ended December 2, 2021. Benoit Family Trust purchased $100,000 of Units in a private placement transaction at $3.04/ Unit, which consisted of 32,895 shares of common stock and Warrants to purchase additional 6,579 shares of common stock. Unit price was based on the Volume Weighted Average Price per share for the five trading days ended December 2, 2021. Warrants to acquire 23,329 shares of common stock reported herein are not exercisable until January 1, 2023. Warrants to acquire 29,908 shares of common stock reported herein are not exercisable until January 1, 2023. /s/ Matthew T. Sands 2021-12-14