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