0001493152-20-003379.txt : 20200304
0001493152-20-003379.hdr.sgml : 20200304
20200304173104
ACCESSION NUMBER: 0001493152-20-003379
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20200302
FILED AS OF DATE: 20200304
DATE AS OF CHANGE: 20200304
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: TAGLICH MICHAEL N
CENTRAL INDEX KEY: 0001024533
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-31671
FILM NUMBER: 20688496
MAIL ADDRESS:
STREET 1: TAGLICH BROTHERS INC
STREET 2: 1370 AVENUE OF THE AMERICAS --31ST FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 6317254791
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: INTELLINETICS, INC.
CENTRAL INDEX KEY: 0001081745
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372]
IRS NUMBER: 870613716
STATE OF INCORPORATION: NV
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 2190 DIVIDEND DRIVE
CITY: COLUMBUS
STATE: OH
ZIP: 43228
BUSINESS PHONE: 6143888909
MAIL ADDRESS:
STREET 1: 2190 DIVIDEND DRIVE
CITY: COLUMBUS
STATE: OH
ZIP: 43228
FORMER COMPANY:
FORMER CONFORMED NAME: GLOBALWISE INVESTMENTS INC
DATE OF NAME CHANGE: 20000928
4
1
ownership.xml
X0306
4
2020-03-02
0
0001081745
INTELLINETICS, INC.
INLX
0001024533
TAGLICH MICHAEL N
790 NEW YORK AVE
HUNTINGTON
NY
11743
0
0
1
0
COMMON STOCK
2020-03-02
4
C
0
4275232
0.08
A
7081596
D
COMMON STOCK
2020-03-02
4
C
0
3004833
0.08
A
10086429
D
COMMON STOCK
2020-03-02
4
C
0
1123125
0.08
A
11209554
D
COMMON STOCK
2020-03-02
4
C
0
2844445
0.08
A
14053999
D
COMMON STOCK
2020-03-02
4
P
0
2187500
0.08
A
16241499
D
COMMON STOCK
2020-03-02
4
P
0
250000
0.08
A
16491499
I
CUSTODIAL
COMMON STOCK
2020-03-02
4
P
0
4375000
0.08
A
20866499
I
CUSTODIAL
COMMON STOCK
2020-03-02
4
P
0
625000
0.08
A
21491499
D
CONVERTIBLE NOTE
0.65
2020-03-02
4
C
0
250000
0.08
D
2016-12-30
COMMON STOCK
384615
4550362
D
CONVERTIBLE NOTE
0.2
2020-03-02
4
C
0
200000
0.08
D
2017-11-17
COMMON STOCK
1000000
3550362
D
CONVERTIBLE NOTE
0.2
2020-03-02
4
C
0
75000
0.08
D
2017-11-17
COMMON STOCK
375000
3175362
D
CONVERTIBLE NOTE
0.13
2020-03-02
4
C
0
200000
0.08
D
2018-09-20
COMMON STOCK
1538462
1636900
D
These are convertible notes that have been convertible since the date of issue, with no expiration dates.
/s/ Michael N. Taglich
2020-03-04