SEC Form 4 · accession 0001615774-18-000851
Ipsidy Inc. · IDTY
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Theodore Stern
Director
Period of report
Feb 2, 2018
Accepted (ET)
Feb 5, 2018 · 5:00 pm EST
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, $0.0001 par value per share | Feb 2, 2018 | G | 9,229,223 | $0.00 | D | 6,266,667 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Common Stock Purchase Warrant | $0.10 | holding | — | — | — | Apr 19, 2016 | Apr 19, 2021 | Common Stock | 1,000,000 | 1,000,000 | D |
| Interest SharesF1 | $0.20 | holding | — | — | — | Jan 31, 2017 | — | Common Stock | 1,400,000 | 1,400,000 | I |
Explanation of responses
- F11,400,000 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.
- F2On 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.