-----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, DaajURdRk5xyIQWiQekzdB2Sl/Qip4zPAMbjtU28hOXLp/IWnlzGPwpoZ2r0Nkvy McVYlGtLzCdFUej/eXJlyQ== 0001144204-03-004132.txt : 20030801 0001144204-03-004132.hdr.sgml : 20030801 20030801172516 ACCESSION NUMBER: 0001144204-03-004132 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20030730 FILED AS OF DATE: 20030801 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 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: 03818875 BUSINESS ADDRESS: STREET 1: INTELLICHECK INC STREET 2: 775 PARK AVE CITY: HUNTINGTON STATE: NY ZIP: 11743 BUSINESS PHONE: 5164212011 4 1 mandel-intelli_4ex.xml X0201 4 2003-07-30 0 0001040896 INTELLI CHECK INC IDN 0001099377 MANDELBAUM FRANK INTELLICHECK INC 775 PARK AVE HUNTINGTON NY 11743 1 1 1 0 Chairman and CEO Common Stock, $.001 par value 2003-07-30 4 G 0 2000 11.05 D 22900 I Spouse Common Stock, $.001 par value 2003-07-30 4 X 0 200 8.50 A 23100 I Spouse Rights 8.50 2003-07-30 4 X 0 200 0 A 2001-10-05 2003-12-31 Common Stock 200 200 I Spouse Rights 8.50 2001-12-13 4 A 0 2290 0 A 2001-12-13 2003-12-31 Common Stock 2290 2290 I Spouse These shares are owned by Mr. Mandelbaum's spouse. Mr. Mandelbaum disclaims beneficial ownership of these shares. 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. /s/ Frank Mandelbaum 2003-08-01 -----END PRIVACY-ENHANCED MESSAGE-----