4//SEC Filing
Broenniman Philip R 4
Accession 0001213900-21-057713
CIK 0001534154other
Filed
Nov 8, 7:00 PM ET
Accepted
Nov 9, 4:05 PM ET
Size
12.9 KB
Accession
0001213900-21-057713
Insider Transaction Report
Form 4
Ipsidy Inc.AUID
Broenniman Philip R
DirectorPresident/COO
Transactions
- Disposition to Issuer
Stock Options
2021-11-05−200,000→ 388,744 totalExercise: $7.20From: 2021-05-05Exp: 2031-05-05→ Common Stock, $0.0001 par value per share (388,744 underlying)
Holdings
- 30,972(indirect: See Footnotes)
Warrants
Exercise: $4.50From: 2020-06-30Exp: 2022-06-30→ Common Stock, $0.0001 par value per share (30,972 underlying) - 11,667
Warrants
Exercise: $4.95From: 2018-08-15Exp: 2023-08-15→ Common Stock, $0.0001 par value per share (11,667 underlying) - 555,556
Stock Options
Exercise: $2.10From: 2020-05-22Exp: 2025-05-22→ Common Stock, $0.0001 par value per share (555,556 underlying) - 172,747
Common Stock, $.0001 par value
- 340,832(indirect: See footnote)
Common Stock, $.0001 par value
- 8,750
Warrants
Exercise: $2.64From: 2019-06-24Exp: 2024-06-23→ Common Stock, $0.0001 par value per share (8,750 underlying)
Footnotes (3)
- [F1]Includes the right to acquire 50,000 shares of common stock at par value subject to the certain vesting criteria granted to Mr. Broenniman on March 6, 2020 pursuant to a Restricted Stock Purchase Agreement.
- [F2]Mr. Broenniman is the Managing Partner of Varana Capital, LLC ("Varana Capital"), which, in turn, is the investment manager of and has dispositive control over the shares held by Varana Capital Focused, LP ("VCFLP"). By virtue of these relationships, in addition to the shares he holds personally, Mr. Broenniman may be deemed to beneficially own the shares held by Varana Capital Focused, LP.
- [F3]On November 5, 2021, the Company and Mr. Broenniman entered into a letter agreement pursuant to which Mr. Broenniman agreed to cancel 200,000 shares of common stock under the Non-Statutory Option dated May 5, 2021 in consideration of removing certain service conditions.
Documents
Issuer
Ipsidy Inc.
CIK 0001534154
Entity typeother
Related Parties
1- filerCIK 0001781770
Filing Metadata
- Form type
- 4
- Filed
- Nov 8, 7:00 PM ET
- Accepted
- Nov 9, 4:05 PM ET
- Size
- 12.9 KB