SEC Form 4
FORM 4 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
or Section 30(h) of the Investment Company Act of 1940
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
COHEN PAUL

(Last) (First) (Middle)

(Street)

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
INTELLI CHECK INC [ IDN ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
Officer (give title below) X Other (specify below)
AFFILIATE
3. Date of Earliest Transaction (Month/Day/Year)
04/29/2003
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 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
Common Stock. $.01 par value 04/29/2003 M 60,000 A 3 137,500 D
Common Stock. $.01 par value 04/29/2003 M 16,500 A 2.8 154,000(1) D
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 (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 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 (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (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: 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
Option (Right to Buy) 3 04/29/2003 M 45,000 08/16/1999 08/16/2004 Common Stock 45,000 $3 0 D
Option (Right to Buy) 3 04/29/2003 M 15,000 06/25/1998 08/25/2003 Common Stock 15,000 $3 0 D
Option (Right to Buy) 2.8 04/29/2003 M 15,000 07/15/2002 07/15/2007 Common Stock 15,000 $2.8 0 D
Option (Right to Buy) 2.8 04/29/2003 M 1,500 07/15/2002 07/15/2007 Common Stock 1,500 $2.8 0 D
Option (Right to Buy) 2.8 07/15/2002 A 45,000 07/15/2002(2) 07/15/2007 Common Stock 45,000 $2.8 45,000 D
Option (Right to Buy) 2.8 07/15/2002 A 1,500 07/15/2002 07/15/2007 Common Stock 1,500 $2.8 1,500 D
Rights 8.5 12/01/2001 A 400 12/01/2001 12/31/2003 Common Stock 400 $8.5 400 D
Rights 8.5 10/05/2001 A 5,050 10/05/2001 12/31/2003 Common Stock 5,050(3) $8.5 5,050 I Spouse/Daughter
Rights 8.5 11/13/2001 A 6,038 11/13/2001 12/31/2003 Common Stock 6,038 $8.5 6,038 D
Rights 8.5 10/05/2001 A 4,762 10/05/2001 12/31/2003 Common Stock 4,762 $8.5 4,762 D
Option (Right to Buy) 3 06/25/1998 A 15,000 06/25/1998 08/25/2003 Common Stock 15,000 $3 15,000 D
Option (Right to Buy) 3 08/16/1999 A 45,000 08/16/1999 08/16/2004 Common Stock 45,000 $3 45,000 D
Option (Right to Buy) 12.125 03/13/2000 A 3,000 03/13/2000 03/13/2005 Common Stock 3,000 $12.125 3,000 D
Option (Right to Buy) 8.75 07/13/2000 A 1,500 07/13/2000 07/13/2005 Common Stock 1,500 $8.75 1,500 D
Option (Right to Buy) 10.15 07/11/2001 A 1,500 07/11/2001 07/11/2006 Common Stock 1,500 $10.15 1,500 D
Explanation of Responses:
1. Also held indirectly are 48000 shares by spouse and 2500 shares by daughter. Mr. Cohen disclaims beneficial ownership of these shares.
2. Currently exercisable to the extent of 15,000, with the additional 30,000 expiring as of February 3, 2003 due to Mr. Cohen's resignation from the Board of Directors.
3. These rights attach to the shares owned by Mr. Cohen's spouse and daughter. Mr. Cohen disclaims beneficial ownership of these rights and the shares underlying them.
Paul Cohen 05/23/2003
** Signature of Reporting Person Date
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).
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