-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, Jr8EmMrU69bkxVWf1d9ruEfjY1PI8tewhoWV0R86L/2mFULnulzYT8A+v68OTr2J iHpIcsw0ydimj76FEpGroQ== 0001144204-03-002871.txt : 20030528 0001144204-03-002871.hdr.sgml : 20030528 20030528152957 ACCESSION NUMBER: 0001144204-03-002871 CONFORMED SUBMISSION TYPE: 8-A12G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20030528 FILER: COMPANY DATA: COMPANY CONFORMED NAME: INTELLI CHECK INC CENTRAL INDEX KEY: 0001040896 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372] IRS NUMBER: 113234779 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 8-A12G SEC ACT: 1934 Act SEC FILE NUMBER: 000-50296 FILM NUMBER: 03721649 BUSINESS ADDRESS: STREET 1: 775 PARK AVE CITY: HUNTINGTON STATE: NY ZIP: 11743 BUSINESS PHONE: 5164212011 MAIL ADDRESS: STREET 1: 775 PARK AVENUE STREET 2: SUITE 340 CITY: HUNTINGTON STATE: NY ZIP: 11743 8-A12G 1 doc1.txt SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 8-A ---------- FOR REGISTRATION OF CERTAIN CLASSES OF SECURITIES PURSUANT TO SECTION 12(b) OR (g) OF THE SECURITIES AND EXCHANGE ACT OF 1934 ---------- INTELLI-CHECK, INC. (Exact Name of Registrant as Specified in its Charter) ---------- Delaware 11-3234779 (State of Incorporation) (I.R.S. Employer Identification No.) 246 Crossways Park West Woodbury, New York 11797 (Address of Principal Executive Offices) ---------- Securities to be registered pursuant to Section 12(b) of the Act: None Securities to be registered pursuant to Section 12(g) of the Act: Title of each class Name of each exchange on which to be so purchased each class is being registered - ---------------------- ------------------------------ Series A 8% American Stock Exchange Convertible Preferred Stock Warrants American Stock Exchange Item 1. Description of Securities to be Registered Incorporated by reference to Amendment No. 1 to Form S-3 filed on May 27, 2003 (File No. 333-104598). SIGNATURE Pursuant to the requirements of Section 12 of the Securities Exchange Act of 1934, the Registrant has duly caused the registration statement to be signed on its behalf by the undersigned, thereunder duly authorized. INTELLI-CHECK, INC. By: /S/ Frank Mandelbaum ------------------------------------------ Frank Mandelbaum Chairman and Chief Executive Officer Dated: May 28, 2003 -----END PRIVACY-ENHANCED MESSAGE-----