Statement of Changes in Beneficial Ownership (4)
January 04 2022 - 05:53PM
Edgar (US Regulatory)
FORM 4
[ ]
Check this box if no longer subject to Section 16. Form 4 or Form 5
obligations may continue. See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL
OWNERSHIP OF SECURITIES
|
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Filed pursuant to Section 16(a) of the
Securities Exchange Act of 1934 or Section 30(h) of the Investment
Company Act of 1940
|
|
| 1. Name
and Address of Reporting Person * Simmons
Chia-Lin |
2. Issuer Name and Ticker or Trading
Symbol Nxt-ID, Inc. [ NXTD ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)__X__
Director _____
10% Owner
__X__ Officer (give title
below) _____ Other
(specify below)
Chief Executive Officer |
|
(Last)
(First)
(Middle)
2801 DIODE LANE |
3. Date of Earliest Transaction (MM/DD/YYYY)
1/3/2022
|
|
(Street)
LOUISVILLE, KY 40299
(City)
(State)
(Zip)
|
4. If Amendment, Date Original Filed
(MM/DD/YYYY)
|
6. Individual or Joint/Group Filing
(Check Applicable Line) _X _ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person |
Table I - Non-Derivative Securities Acquired, Disposed of, or
Beneficially Owned
|
1.Title of Security
(Instr. 3) |
2. Trans. Date |
2A. Deemed Execution Date, if any |
3. Trans. Code
(Instr. 8) |
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5) |
5. Amount of Securities Beneficially Owned Following
Reported Transaction(s)
(Instr. 3 and 4) |
6. Ownership Form: Direct (D) or Indirect (I)
(Instr. 4) |
7. Nature of Indirect Beneficial Ownership (Instr.
4) |
|
Code |
V |
Amount |
(A) or (D) |
Price |
|
Common Stock (1) |
1/3/2022 (2) |
|
A |
|
204145 (3) |
A |
$0 |
470741 (4) |
D |
|
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible
securities)
|
1. Title of Derivate Security
(Instr. 3) |
2. Conversion or Exercise Price of Derivative
Security |
3. Trans. Date |
3A. Deemed Execution Date, if any |
4. Trans. Code
(Instr. 8) |
5. Number of Derivative Securities Acquired (A) or
Disposed of (D)
(Instr. 3, 4 and 5) |
6. Date Exercisable and Expiration Date |
7. Title and Amount of Securities Underlying
Derivative Security
(Instr. 3 and 4) |
8. Price of Derivative Security
(Instr. 5) |
9. Number of derivative Securities Beneficially
Owned Following Reported Transaction(s) (Instr. 4) |
10. Ownership Form of Derivative Security: Direct
(D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr.
4) |
|
Code |
V |
(A) |
(D) |
Date Exercisable |
Expiration Date |
Title |
Amount or Number of Shares |
| Explanation of
Responses: |
| (1) |
Issuable upon settlement of
restricted stock units of the Issuer ("RSUs"), each of which
represents the right to receive one share of common stock, par
value $0.0001 per share, of the Issuer, subject to the vesting
terms of such RSUs. |
| (2) |
The grant of such RSUs was
authorized by the Issuer's compensation committee on December 17,
2021. The RSUs were granted pursuant to an RSU Agreement between
the Reporting Person and the Company on January 3, 2022, which was
formally approved on such date. |
| (3) |
204,145 RSUs were received
as compensation for the reporting person's service as an officer
pursuant to the Issuer's 2013 Long-Term Stock Incentive Plan. The
RSUs are subject to vesting over a period of 36 months commencing
on January 3, 2022, with 34,045 of the RSUs to vest on July 3,
2022, and thereafter, 170,100 of the RSUs to vest on the first day
of each subsequent month until all such RSUs are vested, so long as
the reporting person remains in the service of the Issuer for each
such month. Pursuant to the rules promulgated under Section 13 of
the Securities Exchange Act of 1934, as amended, the Reporting
Person is not deemed to be the beneficial owner of any of the RSUs
until 60 days prior to the applicable vesting dates. |
| (4) |
On October 15, 2021, the
Issuer effected a 1-for-10 reverse stock split. The number of
securities reported on this Form 4 have been adjusted to reflect
the reverse stock split as the split pertained to the number of
securities of the Issuer that the Reporting Person held prior to
the grant of the RSUs. |
Reporting
Owners
|
|
Reporting Owner Name / Address |
Relationships
|
|
Director |
10% Owner |
Officer |
Other |
Simmons Chia-Lin
2801 DIODE LANE
LOUISVILLE, KY 40299 |
X |
|
Chief Executive Officer |
|
Signatures
|
|
/s/ Chia-Lin Simmons |
|
1/4/2022 |
| **Signature of
Reporting Person |
Date |
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