SEC Form 4 · accession 0001615774-17-001621
Ipsidy Inc. · IDTY
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Douglas Wayne Solomon
Officer — Ex. Dir., Govt Rel/Ent. Sec · Director
Period of report
Apr 4, 2017
Accepted (ET)
Apr 11, 2017 · 10:12 am EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001534154
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock, $.0001 par value | Apr 4, 2017 | J | 3,100,000 | $0.10 | D | 14,793,444 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock OptionsF2 | $0.45 | holding | — | — | — | Sep 25, 2015 | Sep 25, 2025 | Common Stock, $0.0001 par value per share | 20,000,000 | 20,000,000 | D |
| Common Stock Purchase Warrant | $0.15 | holding | — | — | — | Sep 25, 2015 | Sep 25, 2020 | Common Stock, $0.0001 par value per share | 1,146,667 | 1,146,667 | D |
| Common Stock Purchase Warrant | $0.055 | holding | — | — | — | May 13, 2015 | May 13, 2020 | Common Stock, $0.0001 par value per share | 1,363,636 | 1,363,636 | D |
Explanation of responses
- F1In connection with a financing entered into by Ipsidy Inc., Mr. Solomon pledged 3,100,000 shares of common stock to various lenders. In April 2017, Mr. Solomon transferred and assigned the 3,100,000 shares of common stock to such lenders.
- F2Mr. Solomon was granted the stock options for his services as an executive officer of the Company.