-----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, Mlk1bPrC1ygAGvqHFu/rD49hXLFHZnG7HDZEZcqwcggO7Q5lscmiKUp/2H37LtQH iialPVSGoISf8sz1Cqhi7A== 0001144204-03-003711.txt : 20030714 0001144204-03-003711.hdr.sgml : 20030714 20030714171123 ACCESSION NUMBER: 0001144204-03-003711 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20030710 FILED AS OF DATE: 20030714 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MANDELBAUM FRANK CENTRAL INDEX KEY: 0001099377 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-50296 FILM NUMBER: 03785796 BUSINESS ADDRESS: STREET 1: INTELLICHECK INC STREET 2: 775 PARK AVE CITY: HUNTINGTON STATE: NY ZIP: 11743 BUSINESS PHONE: 5164212011 ISSUER: 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 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 4 1 mandel-intelli_4ex.xml X0101 4 2003-07-10 0001040896 INTELLI CHECK INC IDN 0001099377 MANDELBAUM FRANK 1 1 1 0 Chairman and CEO Option (Right to Buy) 8.22 2003-07-10 4 A 0 100000 0 A 2003-07-10 2008-07-10 Common Stock 100000 100000 D Option (Right to Buy) 12.10 2002-02-01 4 A 0 350000 0 A 2002-02-01 2007-02-01 Common Stock 350000 350000 D Option (Right to Buy) 3.00 1999-08-04 4 A 0 25000 0 A 2001-01-01 2005-01-01 Common Stock 25000 25000 D Option (Right to Buy) 3.00 1999-08-04 4 A 0 25000 0 A 2001-01-01 2006-01-01 Common Stock 25000 25000 D Option (Right to Buy) 3.00 1999-08-04 4 A 0 25000 0 A 2000-01-01 2007-01-01 Common Stock 25000 25000 D Option (Right to Buy) 3.00 1998-09-04 4 A 0 50000 0 A 1998-09-04 2003-09-04 Common Stock 50000 50000 D Option (Right to Buy) 3.00 1999-07-15 4 A 0 375000 0 A 1999-07-15 2004-07-15 Common Stock 375000 375000 D Rights 8.50 2001-12-13 4 A 0 2490 0 A 2001-12-13 2003-12-31 Common Stock 2490 2490 I Spouse Rights 8.50 2001-12-13 4 A 0 58000 0 A 2001-12-13 2003-12-31 Common Stock 58000 58000 D Rights 8.50 2001-10-05 4 A 0 44100 0 A 2001-12-13 2003-12-31 Common Stock 44100 44100 D These rights attach to the shares owned by Mr. Mandelbaum's spouse. Mr. Mandelbaum disclaims beneficial ownership of these rights and the shares underlying them. Of these options, 125,000 which were granted pursuant to the Issuer's 2001 Stock Option Plan are immediately exercisable. Of the remaining 225,000 options, which are non-plan options, an additional 75,000 options will become exercisable on December 31 of each of 2002, 2003 and 2004. /s/ Frank Mandelbaum 2003-07-14 -----END PRIVACY-ENHANCED MESSAGE-----