Sec Form 4 Filing - HARVEY ROBERT BURTON @ i3 Verticals, Inc. - 2025-01-23

Insider filing report for Changes in Beneficial Ownership
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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
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
HARVEY ROBERT BURTON
2. Issuer Name and Ticker or Trading Symbol
i3 Verticals, Inc. [ IIIV]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X __ Director _____ 10% Owner
_____ Officer (give title below) _____ Other (specify below)
(Last) (First) (Middle)
40 BURTON HILLS BOULEVARD, SUITE 415
3. Date of Earliest Transaction (MM/DD/YY)
01/23/2025
(Street)
NASHVILLE, TN37215
4. If Amendment, Date Original Filed (MM/DD/YY)
6. Individual or Joint/Group Filing (Check Applicable Line)
__ X __ Form filed by One Reporting Person
_____ Form filed by More than One Reporting Person
(City) (State) (Zip)
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Transaction Date (MM/DD/YY) 2A. Deemed Execution Date, if any (MM/DD/YY) 3. Transaction 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
Class B common stock, par value $0.0001 per share 01/23/2025 D( 1 ) 431 D $ 0 ( 1 ) 11,285 D
Class B common stock, par value $0.0001 per share 01/23/2025 D( 2 ) 1,545 D $ 0 ( 2 ) 40,365 I By CCSD II, L.P. ( 3 )
Class B common stock, par value $0.0001 per share 01/23/2025 D( 4 ) 1,032 D $ 0 ( 4 ) 26,980 I By Claritas Capital Specialty Debt Fund, LP ( 5 )
Class B common stock, par value $0.0001 per share 01/23/2025 D( 6 ) 172 D $ 0 ( 6 ) 4,515 I By CF i3 Corporation ( 7 )
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
( e.g. , puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security
(Instr. 3)
2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (MM/DD/YY) 3A. Deemed Execution Date, if any (MM/DD/YY) 4. Transaction 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
(MM/DD/YY)
7. Title and Amount of Underlying Securities
(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
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
HARVEY ROBERT BURTON
40 BURTON HILLS BOULEVARD
SUITE 415
NASHVILLE, TN37215
X
Signatures
/s/ Paul Maple, Attorney-in-Fact for Robert Burton Harvey 01/24/2025
Signature of Reporting Person Date
Explanation of Responses:
( 1 )On January 23, 2025, the common units of i3 Verticals, LLC (the "Common Units") were recapitalized through a reverse unit split, which resulted in the retirement without consideration of 369,256 shares of the Issuer's Class B common stock, par value $0.0001 per share (the "Class B Common Stock") in accordance with the Amended and Restated Certificate of Incorporation of the Issuer (collectively, the "Recapitalization"). As a result of the Recapitalization, the Common Units and shares of Class B Common Stock beneficially owned by the Reporting Person were reduced by 431.
( 2 )As a result of the Recapitalization, the Common Units and shares of Class B Common Stock beneficially owned by CCSD II, L.P. ("CCSD") were reduced by 1,545.
( 3 )Represents shares of Class B Common Stock held by CCSD, of which the Reporting Person serves as a voting member of the investment committee. The Reporting Person disclaims beneficial ownership of such shares, except to the extent of his pecuniary interest therein.
( 4 )As a result of the Recapitalization, the Common Units and shares of Class B Common Stock beneficially owned by Claritas Capital Specialty Debt Fund, LP ("Claritas") were reduced by 1,032.
( 5 )Represents shares of Class B Common Stock held by Claritas, of which the Reporting Person serves as a voting member of the investment committee. The Reporting Person disclaims beneficial ownership of such shares, except to the extent of his pecuniary interest therein.
( 6 )As a result of the Recapitalization, the Common Units and shares of Class B Common Stock beneficially owned by CF i3 Corporation ("CF") were reduced by 172.
( 7 )Represents shares of Class B Common Stock held by CF, of which the Reporting Person serves as an officer. The Reporting Person disclaims beneficial ownership of such shares, except to the extent of his pecuniary interest therein.

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