# EDGAR Filing Document

**Accession Number:** 0001590995
**File Stem:** 0001493152-23-007054
**Filing Date:** 2023-3
**Character Count:** 6840
**Document Hash:** 04c1d17a80cf450005a29719f4d637ea
**Contains OCR:** False
**Source Format:** 

## Filing Content

## Filing Summary
**0001493152-23-007054.hdr.sgml**: 20230308

**ACCESSION NUMBER**: 0001493152-23-007054

**CONFORMED SUBMISSION TYPE**: 4

**PUBLIC DOCUMENT COUNT**: 1

**CONFORMED PERIOD OF REPORT**: 20230306

**FILED AS OF DATE**: 20230308

**DATE AS OF CHANGE**: 20230308

**REPORTING-OWNER**: 

**OWNER DATA:**
- **COMPANY CONFORMED NAME:** Lustgarten Shai Shalom
- **CENTRAL INDEX KEY:** 0001590995

**FILING VALUES:**
- **FORM TYPE:** 4
- **SEC ACT:** 1934 Act
- **SEC FILE NUMBER:** 001-40768
- **FILM NUMBER:** 23718035

**MAIL ADDRESS:**
- **STREET 1:** 27, HAMETZUDA STREET
- **CITY:** AZOR
- **STATE:** L3
- **ZIP:** 5800171

**FORMER NAME:**
- **FORMER CONFORMED NAME:** Lustgarten Shai
- **DATE OF NAME CHANGE:** 20131104
**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

### UNITED STATES SECURITIES AND EXCHANGE COMMISSION
**Washington, D.C. 20549**

## FORM 4

### STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

[ ] Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).

[ ] Check this box to indicate that a transaction was made pursuant to a contract, instruction or written plan for the purchase or sale of equity securities of the issuer that is intended to satisfy the affirmative defense conditions of Rule 10b5-1(c). See Instruction 10.

---

| | | |
|:---|:---|:---|
| **1. Name and Address of Reporting Person**<sup>*</sup><br>Lustgarten Shai Shalom<br><sub>(Last) (First) (Middle)</sub><br>C/O OMNIQ CORP.<br>1865 WEST 2100 SOUTH<br><sub>(Street)</sub><br>SALT LAKE CITY,, UT 84119<br><sub>(City) (State) (Zip)</sub> | **3. Date of Earliest Transaction (Month/Day/Year)**<br>2023-03-06 | **5. Relationship of Reporting Person(s) to Issuer**<br>(Check all applicable)<br>[X] Director [X] 10% Owner<br>[X] Officer (give title below) [ ] Other (specify below)<br>_Chief Executive Officer_ |
| **2. Issuer Name and Ticker or Trading Symbol**<br>OMNIQ Corp. [ OMQS ] | **4. If Amendment, Date of Original Filed (Month/Day/Year)**<br>  | **6. Individual or Joint/Group Filing (Check Applicable Line)**<br>[X] Form filed by One Reporting Person<br>[ ] Form filed by More than One Reporting Person |

---

## Table I - Non-Derivative Securities

---

|  |  |  |  |  |  |  |  |  |  |  |
| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |
| 1. Title of Security | 2. Transaction Date | 2A. Deemed Execution Date | 3. Transaction Code (V) | 3. Transaction Code (V) | 4. Securities Acquired (A) or Disposed of (D) | 4. Securities Acquired (A) or Disposed of (D) | 4. Securities Acquired (A) or Disposed of (D) | 5. Amount of Securities Beneficially Owned | 6. Ownership Form | 7. Nature of Indirect Beneficial Ownership |
| 1. Title of Security | 2. Transaction Date | 2A. Deemed Execution Date | Code | V | Amount | (A) or (D) | Price | 5. Amount of Securities Beneficially Owned | 6. Ownership Form | 7. Nature of Indirect Beneficial Ownership |
| Common Stock | 2023-03-06 | 2023-03-06 | M<sup>(1)</sup> |  | 52191 | A | $2.40 | 974822 | D |  |

---

## Table II - Derivative Securities

---

|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |
| 1. Title of Derivative Security | 2. Conversion or Exercise Price | 3. Transaction Date | 3A. Deemed Execution Date | 4. Transaction Code (V) | 4. Transaction Code (V) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) | 6. Date Exercisable and Expiration Date | 6. Date Exercisable and Expiration Date | 7. Title and Amount of Underlying Securities | 7. Title and Amount of Underlying Securities | 8. Price of Derivative Security | 9. Number of Derivative Securities Beneficially Owned | 10. Ownership Form | 11. Nature of Indirect Beneficial Ownership |
| 1. Title of Derivative Security | 2. Conversion or Exercise Price | 3. Transaction Date | 3A. Deemed Execution Date | Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | 8. Price of Derivative Security | 9. Number of Derivative Securities Beneficially Owned | 10. Ownership Form | 11. Nature of Indirect Beneficial Ownership |
| Stock Option (right to buy) | $2.40 | 2023-03-06 | 2023-03-06 | M<sup>(1)</sup> |  |  | 47809<sup>(1)</sup> | <sup>(1)</sup> | 2023-03-06<sup>(1)</sup> | Common stock | 52191<sup>(1)</sup> | <sup>(2)</sup> | 0 | D |  |

---

### Footnotes:

(1) The stock options exercised herein reflect the cashless exercise of certain options scheduled to expire on March 6, 2023. In connection with the Company's 2018 Option Plan, On March 6, 2023, Mr. Lustgarten exercised 100,000 options on a cashless basis. For this transaction, the number of shares received by Mr. Lustgarten was 52,191. Following the net exercise, Mr. Lustgarten will have 0 remaining options from the grant on March 6, 2018.

(2) The options were issued pursuant to a grant under the 2018 Equity Incentive Plan.

**Remarks:**
Prior to the transaction reported herein, Mr. Lustgarten held 922,631 shares of the issuer's common stock. A portion of the shares held by Mr. Lustgarten are held in the name of his entity, Walefar Investments Ltd.

**Signature:** /s/ Shai Shalom Lustgarten  
**Date:** 2023-03-08

### Remarks:

Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.

* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).

** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).

Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.

**Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.**