Ipsidy Inc.·4

Apr 21, 5:05 PM ET

STERN THEODORE 4

4 · Ipsidy Inc. · Filed Apr 21, 2021

Insider Transaction Report

Form 4
Period: 2021-04-19
Transactions
  • Gift

    Common Stock, $0.0001 par value per share

    2021-04-198,166,6670 total(indirect: See Footnote)
Holdings
  • Amended and Restated Promissory Notes

    (indirect: See footnote)
    Exercise: $0.20From: 2020-02-14Exp: 2022-02-28Common Stock, $0.0001 par value per share (15,000,000 underlying)
    15,000,000
  • Common Stock Purchase Warrant

    Exercise: $0.15From: 2020-06-30Exp: 2022-06-30Common Stock, $0.0001 par value per share (250,000 underlying)
    250,000
  • Interest Shares

    (indirect: See Footnote)
    Exercise: $0.20From: 2017-01-31Common Stock, $0.0001 par value per share (3,310,000 underlying)
    3,310,000
  • 15% Convertible Note

    Exercise: $0.20From: 2020-02-14Exp: 2022-02-28Common Stock, $0.0001 par value per share (375,000 underlying)
    375,000
  • Common Stock, $0.0001 par value per share

    5,885,445
Footnotes (3)
  • [F1]Shares of common stock are held by the Theodore Stern Revocable Trust (the "Trust").
  • [F2]On April 19, 2021, the Trust gifted 8,166,667 shares of common stock to Andrew A. Stern and Jonathan M. Stern, Mr. Stern's adult children, in their capacity as the Trustees of the 2000 Irrevocable Trust for Family of Theodore and Elizabeth S. Stern (the "2000 Trust"). The shares held by the 2000 Trust are subject to a lock up period for a period of one year from the date of the gift. Mr. Stern has no beneficial interest in the 2000 Trust.
  • [F3]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.

Documents

1 file
  • 4
    ownership.xmlPrimary