0001017386-21-000395.txt : 20210915 0001017386-21-000395.hdr.sgml : 20210915 20210915160132 ACCESSION NUMBER: 0001017386-21-000395 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210913 FILED AS OF DATE: 20210915 DATE AS OF CHANGE: 20210915 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Mandel-Mantello Andrea CENTRAL INDEX KEY: 0001871446 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39170 FILM NUMBER: 211255427 MAIL ADDRESS: STREET 1: C/O ELYS GAME TECHNOLOGY CORP. STREET 2: 130 ADELAIDE STREET WEST, SUITE 701 CITY: TORONTO STATE: A6 ZIP: M5H2K4 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Elys Game Technology, Corp. CENTRAL INDEX KEY: 0001080319 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372] IRS NUMBER: 330823179 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 611 GATEWAY BLVD STREET 2: STE 120 CITY: SAN FRANCISCO STATE: CA ZIP: 94080 BUSINESS PHONE: 39-391-306-4134 MAIL ADDRESS: STREET 1: 130 ADELAIDE STREET, WEST STREET 2: SUITE 701 CITY: TORONTO STATE: A6 ZIP: M5H 2K4 FORMER COMPANY: FORMER CONFORMED NAME: Newgioco Group, Inc. DATE OF NAME CHANGE: 20160811 FORMER COMPANY: FORMER CONFORMED NAME: EMPIRE GLOBAL CORP. DATE OF NAME CHANGE: 20051004 FORMER COMPANY: FORMER CONFORMED NAME: TRADESTREAM GLOBAL CORP. DATE OF NAME CHANGE: 20050727 4 1 ownership.xml X0306 4 2021-09-13 0 0001080319 Elys Game Technology, Corp. ELYS 0001871446 Mandel-Mantello Andrea C/O ELYS GAME TECHNOLOGY CORP. 130 ADELAIDE STREET WEST, SUITE 701 TORONTO A6 M5H2K4 ONTARIO, CANADA 1 0 0 0 Stock Option (right to buy) 5.10 2021-09-13 4 A 0 13600 0 A 2021-10-13 2031-09-12 Common Stock 13600 13600 D These stock options vest monthly pro rata over 12 months. /s/ Andrea Mandel-Mantello 2021-09-15