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