Selzer Herbert M. 4

4 · Ipsidy Inc. · Filed Sep 14, 2020

Form 4

Period: 2020-09-09

Director

Transactions

Other
Common Stock, $.0001 par value
2020-09-09$0.13/sh−769,231$100,000→ 5,594,714 total
Exercise of In-Money
Common Stock Purchase Warrant
2020-09-09$0.10/sh−1,000,000$100,000→ 0 total
Exercise: $0.10From: 2015-09-26Exp: 2020-09-26→ Common Stock, $0.0001 par value per share (1,000,000 underlying)
Exercise of In-Money
Common Stock, $.0001 par value
2020-09-09$0.10/sh+1,000,000$100,000→ 6,363,945 total

Holdings

Common Stock, $.0001 par value
(indirect: See Footnotes)
2,417,778
Stock Options
Exercise: $0.15From: 2015-09-30Exp: 2025-09-30→ Common Stock, $0.0001 par value per share (400,000 underlying)
400,000
Common Stock Purchase Warrant
(indirect: See Footnotes)
Exercise: $0.15From: 2020-06-30Exp: 2022-06-30→ Common Stock, $0.0001 par value per share (440,000 underlying)
440,000
15% Convertible Note
Exercise: $0.20From: 2020-02-14Exp: 2022-02-28→ Common Stock, $0.0001 par value per share (750,000 underlying)
750,000

Footnotes (2)

[F1]Securities held by Vista PBG Associates LLC ("Vista"). Mr. Selzer serves as the manager of Vista.
[F2]This Form is being filed to report the exercise of a common stock purchase warrant pursuant to which the Reporting Person received shares of common stock by means of a cashless exercise. A cashless exercise is a method of exercising a common stock purchase warrant in which the holder pays the exercise price to the Company using shares of common stock the Reporting Person would have received pursuant to the common stock purchase warrant exercise. As a result of this cashless exercise, the Reporting Person exercised a common stock purchase warrant to acquire 1,000,000 shares of common stock at an exercise price of $0.10 per share on a cashless basis receiving on a net basis 230,769 shares of common stock which reflects 769,231 shares of common stock withheld by the Company at the market price of $0.13 per share less the exercise price of $0.10 per share.

Documents

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