0001185185-21-001330.txt : 20210920 0001185185-21-001330.hdr.sgml : 20210920 20210920181241 ACCESSION NUMBER: 0001185185-21-001330 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210504 FILED AS OF DATE: 20210920 DATE AS OF CHANGE: 20210920 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Williams Carl J CENTRAL INDEX KEY: 0001295097 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34294 FILM NUMBER: 211264301 MAIL ADDRESS: STREET 1: 10 GLENLAKE PARKWAY, NORTH TOWER CITY: ATLANTA STATE: GA ZIP: 30189 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: GreenBox POS CENTRAL INDEX KEY: 0001419275 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MANAGEMENT CONSULTING SERVICES [8742] IRS NUMBER: 000000000 STATE OF INCORPORATION: NV FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 3131 CAMINO DEL RIO NORTH, SUITE 1400 CITY: SAN DIEGO STATE: CA ZIP: 92108 BUSINESS PHONE: 619-631-8261 MAIL ADDRESS: STREET 1: 3131 CAMINO DEL RIO NORTH, SUITE 1400 CITY: SAN DIEGO STATE: CA ZIP: 92108 FORMER COMPANY: FORMER CONFORMED NAME: GreenBox POS, LLC DATE OF NAME CHANGE: 20180613 FORMER COMPANY: FORMER CONFORMED NAME: ASAP Expo, Inc. DATE OF NAME CHANGE: 20071123 4 1 ownership.xml X0306 4 2021-05-04 0 0001419275 GreenBox POS GBOX 0001295097 Williams Carl J 3131 CAMINO DEL RIO NORTH, SUITE 1400 SAN DIEGO CA 92108 1 0 0 0 Common Stock, par value $0.001 2021-05-15 4 A 0 271 9.22 A 271 D Common Stock, par value $0.001 2021-06-15 4 A 0 172 14.60 A 443 D Common Stock, par value $0.001 2021-07-15 4 A 0 241 10.37 A 684 D Common Stock, par value $0.001 2021-08-15 4 A 0 323 7.73 A 1007 D Mr. Williams earns $2,500 worth of shares of Common Stock monthly, issuable on the 15th day of each month in the number based on the closing price of our Common stock on that date or the next trading day. /s/ Carl Williams 2021-09-17