0001178913-11-000699.txt : 20110307
0001178913-11-000699.hdr.sgml : 20110307
20110307133510
ACCESSION NUMBER: 0001178913-11-000699
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20110302
FILED AS OF DATE: 20110307
DATE AS OF CHANGE: 20110307
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Peleg Gadi
CENTRAL INDEX KEY: 0001443071
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-24431
FILM NUMBER: 11667806
MAIL ADDRESS:
STREET 1: 551 5TH AVENUE, 24TH FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10176
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: INKSURE TECHNOLOGIES INC.
CENTRAL INDEX KEY: 0001062128
STANDARD INDUSTRIAL CLASSIFICATION: MISCELLANEOUS CHEMICAL PRODUCTS [2890]
IRS NUMBER: 841417774
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: P.O. BOX 7006
CITY: AUDUBON
STATE: PA
ZIP: 19407
BUSINESS PHONE: (954) 772-8507
MAIL ADDRESS:
STREET 1: P.O. BOX 7006
CITY: AUDUBON
STATE: PA
ZIP: 19407
FORMER COMPANY:
FORMER CONFORMED NAME: INKSURE TECHNOLOGIES INC
DATE OF NAME CHANGE: 19980519
4
1
zk1109572.xml
X0303
4
2011-03-02
0
0001062128
INKSURE TECHNOLOGIES INC.
INKS.OB
0001443071
Peleg Gadi
551 5TH AVENUE, 24TH FLOOR
NEW YORK
NY
10176
1
1
0
0
Chairman of the Board
Common Stock
2011-03-02
4
A
0
277778
0.18
A
4227778
I
See Footnote
Includes 750,000 shares of common stock underlying options and warrants which are currently exercisable or exercisable within 60 days of March 03, 2011.
3,200,000 shares of Common Stock are held by Peleg Investment Management LLC, which is controlled by Mr. Gadi Peleg.
/s/ Gadi Peleg
2011-03-03