4//SEC Filing
Broenniman Philip R 4
Accession 0001213900-22-014524
CIK 0001534154other
Filed
Mar 22, 8:00 PM ET
Accepted
Mar 23, 5:00 PM ET
Size
19.8 KB
Accession
0001213900-22-014524
Insider Transaction Report
Form 4
Ipsidy Inc.AUID
Broenniman Philip R
DirectorPresident/COO
Transactions
- Award
Common Stock, $.0001 par value
2022-03-21$3.22/sh+311$1,001→ 173,058 total - Award
Common Stock, $.0001 par value
2022-03-21$3.22/sh+3,106$10,001→ 343,938 total(indirect: See footnote) - Award
Senior Secured Convertible Note
2022-03-21$1000000.00/sh+270,270$270,270,000,000→ 270,270 total(indirect: See Footnotes)Exercise: $3.70From: 2022-03-21Exp: 2025-03-21→ Common Stock, $0.0001 par value per share (270,270 underlying) - Award
Senior Secured Convertible Note
2022-03-21$100000.00/sh+27,027$2,702,700,000→ 27,027 totalExercise: $3.70From: 2022-03-21Exp: 2025-03-21→ Common Stock, $0.0001 par value per share (27,027 underlying)
Holdings
- 388,744
Stock Options
Exercise: $7.20From: 2021-05-05Exp: 2031-05-05→ Common Stock, $0.0001 par value per share (388,744 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) - 8,750
Warrants
Exercise: $2.64From: 2019-06-24Exp: 2024-06-23→ Common Stock, $0.0001 par value per share (8,750 underlying) - 10,238
Stock Options
Exercise: $15.16From: 2021-12-29Exp: 2031-12-29→ Common Stock, $0.0001 par value per share (10,238 underlying) - 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)
Footnotes (4)
- [F1]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.
- [F2]The shares vest monthly in equal amounts over a one-year period.
- [F3]383,334 of the shares vest upon meeting performance criteria.
- [F4]Upon acquiring the Senior Secured Convertible Note, the reporting person was issued an origination fee in shares of common stock equal to 1.0% of the original principal amount of the reporting person's Senior Secured Convertible Notes with the value of each such share being the arithmetic average of the volume weighted average price of the Common Stock for each of the ten trading days immediately preceding the effective date.
Documents
Issuer
Ipsidy Inc.
CIK 0001534154
Entity typeother
Related Parties
1- filerCIK 0001781770
Filing Metadata
- Form type
- 4
- Filed
- Mar 22, 8:00 PM ET
- Accepted
- Mar 23, 5:00 PM ET
- Size
- 19.8 KB