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