STERN THEODORE 4

4 · Ipsidy Inc. · Filed Jul 2, 2020

Form 4

Period: 2020-06-30

Director

Transactions

Exercise of In-Money
Common Stock, $0.0001 par value per share
2020-06-30$0.07/sh+1,000,000$70,000→ 5,885,445 total
Exercise of In-Money
Common Stock Purchase Warrant
2020-06-30−1,000,000→ 0 total
Exercise: $0.07From: 2016-04-19Exp: 2021-04-19→ Common Stock, $0.0001 par value per share (1,000,000 underlying)
Purchase
Common Stock Purchase Warrant
2020-06-30$0.15/sh+250,000$37,500→ 250,000 total
Exercise: $0.15From: 2020-06-30Exp: 2022-06-30→ Common Stock, $0.0001 par value per share (250,000 underlying)

Holdings

Amended and Restated Promissory Notes
(indirect: See footnote)
Exercise: $0.20From: 2020-02-14Exp: 2022-02-28→ Common Stock, $0.0001 par value per share (15,000,000 underlying)
15,000,000
Interest Shares
(indirect: See Footnote)
Exercise: $0.20From: 2017-01-31→ Common Stock, $0.0001 par value per share (3,310,000 underlying)
3,310,000
Common Stock, $0.0001 par value per share
(indirect: See Footnote)
8,166,667
15% Convertible Note
Exercise: $0.20From: 2020-02-14Exp: 2022-02-28→ Common Stock, $0.0001 par value per share (375,000 underlying)
375,000

Footnotes (3)

[F1]Shares of common stock are held by the Theodore Stern Revocable Trust (the "Trust").
[F2]Represents 3,310,000 shares of common stock that may be issued upon the conversion of interest accrued at $0.20 per share under issued under that certain Unsecured Promissory Note in the principal amount as of the date hereof $2,000,000 issued to the Trust.
[F3]On June 30, 2020, Mr. Stern exercised a common stock purchase warrant to acquire 1,000,000 shares of common stock at an exercise price of $0.07 per share in consideration of the issuance a common stock purchase warrant to acquire 250,000 shares of common stock exercisable for $0.15 per share.

Documents

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