SEC Form 4 · accession 0001615774-18-014671
Ipsidy Inc. · IDTY
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Herbert M. Selzer
Director
Period of report
Dec 18, 2018
Accepted (ET)
Dec 19, 2018 · 5:26 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, $.0001 par valueF1 | Dec 18, 2018 | A | 578,778 | $0.0001 | A | 4,738,945 | D | |
| Common Stock, $.0001 par valueF2 | holding | — | — | — | 1,537,778 | I | See Footnotes |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Options | $0.15 | holding | — | — | — | Sep 30, 2015 | Sep 30, 2025 | Common Stock, $0.0001 par value per share | 400,000 | 400,000 | D |
| Common Stock Purchase Warrant | $0.10 | holding | — | — | — | Sep 26, 2015 | Sep 26, 2020 | Common Stock, $0.0001 par value per share | 1,000,000 | 1,000,000 | D |
| Common Stock Purchase WarrantF2 | $0.05 | holding | — | — | — | Jul 29, 2015 | May 13, 2020 | Common Stock, $0.0001 par value per share | 880,000 | 880,000 | I |
Explanation of responses
- F1On December 18, 2018, Mr. Selzer and Ipsidy Inc. entered into a Restricted Stock Agreement pursuant to which Mr. Selzer acquired 578,778 shares of common stock in connection with his service as a director.
- F2Securities are held by Vista Associates, L.P. ("Vista"). Mr. Selzer serves as the general partner of Vista.