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