SEC Form 4 · accession 0001615774-17-001629
Ipsidy Inc. · IDTY
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Thomas Robert Szoke
Officer — Chief Technology Officer · Director
Period of report
Apr 4, 2017
Accepted (ET)
Apr 11, 2017 · 4:36 pm 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 valueF3 | Apr 4, 2017 | J | 3,100,000 | $0.10 | D | 20,892,861 | D | |
| Common Stock, $.0001 par valueF1 | holding | — | — | — | 1,315,940 | I | See footnote | |
| Common Stock, $.0001 par valueF2 | holding | — | — | — | 3,000,000 | I | See footnote |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock OptionsF4 | $0.45 | holding | — | — | — | Sep 25, 2015 | Sep 25, 2025 | Common Stock, $0.0001 par value per share | 10,000,000 | 10,000,000 | D |
Explanation of responses
- F1Shares held by Thomas Szoke LLC. Mr. Szoke is an officer and principal of the entity, and he may be deemed the beneficial owner or the shares held by such entity.
- F2Shares held by Mr. Szoke's wife, Ginta Ozola-Szoke.
- F3In connection with a financing entered into by Ipsidy Inc., Mr. Szoke pledged 3,100,000 shares of common stock to various lenders. In April 2017, Mr. Szoke transferred and assigned the 3,100,000 shares of common stock to such lenders.
- F4Mr. Szoke was granted the stock option for his services as an executive officer of the company.