0001185185-21-001497.txt : 20211020 0001185185-21-001497.hdr.sgml : 20211020 20211020150315 ACCESSION NUMBER: 0001185185-21-001497 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211015 FILED AS OF DATE: 20211020 DATE AS OF CHANGE: 20211020 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Errez Ben CENTRAL INDEX KEY: 0001826385 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34294 FILM NUMBER: 211333874 MAIL ADDRESS: STREET 1: 8880 RIO SAN DIEGO DR. STREET 2: SUITE 102 CITY: SAN DIEGO STATE: CA ZIP: 92108 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 2021-10-15 0 0001419275 GreenBox POS GBOX 0001826385 Errez Ben 3131 CAMINO DEL RIO NORTH SUITE 1400 SAN DIEGO CA 92108 1 1 0 0 Chairman of Board of Directors Common Stock, par value $0.001 2021-10-15 4 A 0 659 7.59 A 20611848 D Mr. Errez earns $5,000 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/ Ben Errez 2021-10-15