0000891839-21-000297.txt : 20210921 0000891839-21-000297.hdr.sgml : 20210921 20210921171529 ACCESSION NUMBER: 0000891839-21-000297 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210917 FILED AS OF DATE: 20210921 DATE AS OF CHANGE: 20210921 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: GOLDBERG HOWARD CENTRAL INDEX KEY: 0001275847 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39332 FILM NUMBER: 211267196 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: VerifyMe, Inc. CENTRAL INDEX KEY: 0001104038 STANDARD INDUSTRIAL CLASSIFICATION: MISCELLANEOUS CHEMICAL PRODUCTS [2890] IRS NUMBER: 233023677 STATE OF INCORPORATION: NV FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 75 S. CLINTON AVE. STREET 2: SUITE 510 CITY: ROCHESTER STATE: NY ZIP: 14604 BUSINESS PHONE: 212-994-7002 MAIL ADDRESS: STREET 1: 75 S. CLINTON AVE. STREET 2: SUITE 510 CITY: ROCHESTER STATE: NY ZIP: 14604 FORMER COMPANY: FORMER CONFORMED NAME: LASERLOCK TECHNOLOGIES INC DATE OF NAME CHANGE: 20001004 4 1 edgar.xml PRIMARY DOCUMENT X0306 4 2021-09-17 0001104038 VerifyMe, Inc. VRME 0001275847 GOLDBERG HOWARD C/O VERIFYME, INC. 75 S. CLINTON AVENUE, SUITE 510 ROCHESTER NY 14604 1 0 0 0 Common Stock, par value $0.001 2021-09-17 4 M 0 7000 0 A 95246 D Restricted Stock Units 0 2021-09-17 4 A 0 21000 0 A Common Stock, par value $0.001 21000 21000 D Restricted Stock Units 0 2021-09-17 4 M 0 7000 0 D Common Stock, par value $0.001 7000 14000 D Restricted Stock Units 0 Common Stock, par value $0.001 29002 29002 D Stock Option (Right to Buy) 5.295 2025-05-27 Common Stock, par value $0.001 5000 5000 D Stock Option (Right to Buy) 3.505 2025-01-07 Common Stock, par value $0.001 10000 10000 D Stock Option (Right to Buy) 3.505 2025-01-07 Common Stock, par value $0.001 10000 10000 D Warrant (Right to Buy) 7.5 2023-01-11 Common Stock, par value $0.001 4290 4290 D Warrant (Right to Buy) 7.5 2022-09-05 Common Stock, par value $0.001 28600 28600 D These restricted stock units, which convert into common stock on a one-for-one basis, were granted under the VerifyMe, Inc. 2020 Equity Incentive Plan in a transaction exempt under Rule 16b-3 and, except as otherwise provided in the award notice, vested one-third on 9/17/2021 with respect to 7,000 shares as reflected in the Table I transaction of this report and vest one-third on each of 9/17/2022 and 9/17/2023, subject to continuous service as a member of the board of directors, and become payable upon separation of the Reporting Person's service as a director. These restricted stock units, which convert into common stock on a one-for-one basis, except as otherwise provided in the award notice, vest on 1/19/2022, subject to continuous service as a member of the board of directors, and become payable upon separation of the Reporting Person's service as a director. This option has fully vested as of the date of this report. This warrant has fully vested as of the date of this report. /s/ Margaret Gezerlis, Attorney-in-fact for Howard Goldberg 2021-09-21