David Rios - Nov 27, 2023 Form 4 Insider Report for Innovative Payment Solutions, Inc. (IPSI)

Role
Director
Signature
/s/ David Rios
Stock symbol
IPSI
Transactions as of
Nov 27, 2023
Transactions value $
$400,000
Form type
4
Date filed
12/18/2023, 04:15 PM
Previous filing
Sep 19, 2022

Derivative Securities (e.g., puts, calls, warrants, options, convertible securities)

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Underlying Class Amount Exercise Price Ownership Footnotes
transaction IPSI Note Shares Purchase $200K +580K +289.86% $0.35 780K Nov 27, 2023 Common Stock 580K $0.35 Direct F1, F2
transaction IPSI Warrant Shares Purchase $200K +580K +74.35% $0.35 1.36M Nov 27, 2023 Common Stock 580K $0.35 Direct F3, F4
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 David Rios entered into a Convertible Promissory Note with Innovative Payment Solutions in the amount of $200,000, which is at any time convertible into shares of common stock at a conversion price of $0.345 per share.
F2 The shares are held by the 1999 Rios Family Trust. David Rios is the Trustee of the 1999 Rios Family Trust.
F3 The shares were issued pursuant to a common stock purchase warrant as part of a financing agreement by and between David Rios and Innovative Payment Solutions, Inc.
F4 The shares are held by the 1999 Rios Family Trust. David Rios is the Trustee of the 1999 Rios Family Trust.