0001615774-18-000851.txt : 20180205 0001615774-18-000851.hdr.sgml : 20180205 20180205170029 ACCESSION NUMBER: 0001615774-18-000851 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180202 FILED AS OF DATE: 20180205 DATE AS OF CHANGE: 20180205 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: STERN THEODORE CENTRAL INDEX KEY: 0000935991 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-54545 FILM NUMBER: 18575024 MAIL ADDRESS: STREET 1: EXECUTIVE ASSOCIATES STREET 2: ONE PPG PLACE, SUITE 2970 CITY: PITTSBURGH STATE: PA ZIP: 15222 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Ipsidy Inc. CENTRAL INDEX KEY: 0001534154 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 780 LONG BEACH BLVD. CITY: LONG BEACH STATE: NY ZIP: 11561 BUSINESS PHONE: (407) 951-8640 MAIL ADDRESS: STREET 1: 780 LONG BEACH BLVD. CITY: LONG BEACH STATE: NY ZIP: 11561 FORMER COMPANY: FORMER CONFORMED NAME: ID Global Solutions Corp DATE OF NAME CHANGE: 20141014 FORMER COMPANY: FORMER CONFORMED NAME: IIM Global Corp DATE OF NAME CHANGE: 20130107 FORMER COMPANY: FORMER CONFORMED NAME: Silverwood Acquisition Corp DATE OF NAME CHANGE: 20111102 4 1 s108926_4.xml OWNERSHIP DOCUMENT X0306 4 2018-02-02 0 0001534154 Ipsidy Inc. IDTY 0000935991 STERN THEODORE ONE PPG PLACE SUITE 2970 PITTSBURGH PA 15222 1 0 0 0 Common Stock, $0.0001 par value per share 2018-02-02 4 G 0 9229223 0 D 6266667 D Common Stock Purchase Warrant .10 2016-04-19 2021-04-19 Common Stock 1000000 1000000 D Interest Shares .20 2017-01-31 Common Stock 1400000 1400000 I See Footnote 1,400,000 shares of common stock that may be issued upon the conversion of interest accrued at $0.20 per share as of December 31, 2017 under that certain Unsecured Promissory Note due January 31, 2019 in the principal amount of $3,000,000 issued to the Theodore Stern Revocable Trust. On January 26, 2018, Theodore Stern gifted 9,229,223 shares of common stock to Andrew A. Stern and Jonathan M. Stern in their capacity as the Trustees of the 2000 Irrevocable Trust for Family of Theodore and Elizabeth S. Stern. The gifted shares are subject to a lock-up and may not be offered, sold, pledged, transferred or otherwise disposed of for a period of one year from the date of grant. /s/Theodore Stern 2018-02-02