0001766410-21-000004.txt : 20210622 0001766410-21-000004.hdr.sgml : 20210622 20210621174444 ACCESSION NUMBER: 0001766410-21-000004 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20210622 DATE AS OF CHANGE: 20210621 EFFECTIVENESS DATE: 20210622 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Q5ID, Inc. CENTRAL INDEX KEY: 0001766410 IRS NUMBER: 825478816 STATE OF INCORPORATION: OR FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-403655 FILM NUMBER: 211032210 BUSINESS ADDRESS: STREET 1: 9525 SW GEMINI DRIVE CITY: BEAVERTON STATE: OR ZIP: 97008 BUSINESS PHONE: 5038369551 MAIL ADDRESS: STREET 1: 9525 SW GEMINI DRIVE CITY: BEAVERTON STATE: OR ZIP: 97008 FORMER COMPANY: FORMER CONFORMED NAME: Q5id, Inc. DATE OF NAME CHANGE: 20190130 D 1 primary_doc.xml X0708 D LIVE 0001766410 Q5ID, Inc. 3121 NE Cornell Rd. Hillsboro OR OREGON 97124 5038369551 OREGON VerifiedID, Inc. Q5id, Inc. Corporation true 2018 Steve Larson 2057 Riverknoll Court West Linn OR OREGON 97068 Executive Officer Director Thomas Ridge 6105 Kennedy Drive Chevy Chase MD MARYLAND 20815 Director Donald Jewell 1489 Main Drive, Suite 524 West Vancouver A1 BRITISH COLUMBIA, CANADA V7T1B8 Director Thomas Kilroy 13891 Hawksbeard Black Butte Ranch OR OREGON 97759 Director Dominic O'Dierno 9205 NW Benson Ct. Portland OR OREGON 97229 Executive Officer Ernie Allen 1164 Old Gate Court McLean VA VIRGINIA 22102 Director Janine Carnel 25630 Kimberly Drive West Linn OR OREGON 97068 Executive Officer Dianna Collinson 15416 NW Dominion Drive Portland OR OREGON 97231 Executive Officer Brian Fravel 10126 NW Ash Court Portland OR OREGON 97231 Executive Officer Raymond Larson 14911 SE Francesca Lane Happy Valley OR OREGON 97086 Executive Officer Other Decline to Disclose 06b false 2021-06-04 false true true true false 0 Canaccord Genuity Corp. None Canaccord Genuity Wealth Management (USA) Inc. 7449 609 Granville Street Vancouver A1 BRITISH COLUMBIA, CANADA V7Y 1H2 All States true 10000000 7805000 2195000 Certain sales in the Offering have been made under Regulation S with the first sale under Rule 506(b) occurring on 06/04/21. The Offering Amount may be increased by $1,500,000. Each investor will receive a certain number of warrants from Issuer. false 2 1050100 true 0 Amount provided is an estimate of the cash sales commissions. The agent may also receive the following forms of compensation: (i) 62,500 shares of common stock of Issuer and (ii) 399,575 warrants from the Issuer. 730000 true The amount reflected is the cumulative annual salaries of the Executive Officers listed in Item 3 and the associated attachments. The actual amount of gross proceeds of the Offering that will be used for payments to the Executive Officers may vary. false Q5ID, Inc. Steve Larson Steve Larson President 2021-06-21