0001493152-21-017622.txt : 20210723
0001493152-21-017622.hdr.sgml : 20210723
20210723160047
ACCESSION NUMBER: 0001493152-21-017622
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210721
FILED AS OF DATE: 20210723
DATE AS OF CHANGE: 20210723
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: MacMillan Andrew J
CENTRAL INDEX KEY: 0001342220
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-09047
FILM NUMBER: 211110852
MAIL ADDRESS:
STREET 1: NTS, INC.
STREET 2: 5307 W. LOOP 289
CITY: LUBBOCK
STATE: TX
ZIP: 79414
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: OMNIQ Corp.
CENTRAL INDEX KEY: 0000278165
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER INTEGRATED SYSTEMS DESIGN [7373]
IRS NUMBER: 020314487
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 1865 WEST 2100 SOUTH
CITY: SALT LAKE CITY
STATE: UT
ZIP: 84119
BUSINESS PHONE: 800-242-7272
MAIL ADDRESS:
STREET 1: 1865 WEST 2100 SOUTH
CITY: SALT LAKE CITY
STATE: UT
ZIP: 84119
FORMER COMPANY:
FORMER CONFORMED NAME: Quest Solution, Inc.
DATE OF NAME CHANGE: 20140813
FORMER COMPANY:
FORMER CONFORMED NAME: AMERIGO ENERGY, INC.
DATE OF NAME CHANGE: 20081112
FORMER COMPANY:
FORMER CONFORMED NAME: STRATEGIC GAMING INVESTMENTS, INC.
DATE OF NAME CHANGE: 20060501
4
1
ownership.xml
X0306
4
2021-07-21
0
0000278165
OMNIQ Corp.
OMQS
0001342220
MacMillan Andrew J
C/O OMNIQ CORP. 1865 WEST 2100 SOUTH
SALT LAKE CITY
UT
84119
1
0
0
0
Common Stock
2021-07-21
2021-07-21
4
M
0
18996
2.20
A
18996
D
Stock Option (right to buy)
2.20
2021-07-21
2021-07-21
4
M
0
25000
D
2021-08-02
Common stock
18996
0
D
The stock options exercised herein reflect the cashless exercise of certain options scheduled to expire on August 2, 2021. In connection with the Company's 2014 Option Plan, 500,000 stock options were granted to Mr. MacMillan on August 2, 2017. Following the Company's 1-for-20 reverse stock split of its common stock, effective, November 20, 2019, the number of options in the stock option grant is 25,000. For this transaction, the number of options to be exercised by Mr. MacMillan is 25,000. Following the net exercise, Mr. MacMillan will have 0 remaining options from this class of options within the August 2, 2017 stock option grant.
Upon exercise, the underlying net options convert into shares of the issuer's common stock on a one-for-one basis.
/s/ Andrew J. MacMillan
2021-07-23