0001615774-18-013941.txt : 20181206 0001615774-18-013941.hdr.sgml : 20181206 20181206170507 ACCESSION NUMBER: 0001615774-18-013941 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20181203 FILED AS OF DATE: 20181206 DATE AS OF CHANGE: 20181206 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: 181221403 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: 516-274-8700 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 s114523_form4.xml 4 X0306 4 2018-12-03 0 0001534154 Ipsidy Inc. IDTY 0000935991 STERN THEODORE 220 N. BELLEFIELD AVE., UNIT 1101 PITTSBURGH PA 15213 1 0 0 0 Common Stock, $0.0001 par value per share 2018-12-04 4 G 0 2200000 0.10 D 4885445 D Common Stock, $0.0001 par value per share 2018-12-03 4 A 0 578778 0.0001 A 7085445 D Common Stock, $0.0001 par value per share 8166667 I See Footnote Common Stock Purchase Warrant 0.10 2016-04-19 2021-04-19 Common Stock, $0.0001 par value per share 1000000 1000000 D Interest Shares 0.20 2017-01-31 Common Stock, $0.0001 par value per share 1733335 1733335 I See Footnote On December 4, 2018, Theodore Stern gifted 2,200,000 shares of common stock to the Jewish Federation of Greater Pittsburgh. On December 3, 2018, Mr. Stern and Ipsidy Inc. entered into a Restricted Stock Agreement pursuant to which Mr. Stern acquired 578,778 shares of common stock in connection with his service as a director. Shares of common stock are held by the Theodore Stern Revocable Trust (the "Trust"). 1,733,335 shares of common stock that may be issued upon the conversion of interest accrued at $0.20 per share as of August 9, 2018 under that certain Unsecured Promissory Note in the principal amount as of the date hereof $2,000,000 issued to the Trust. /s/ Theodore Stern 2018-12-06