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