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