-----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, RUQVpJNUn3lZTuYQw6r+uKBV5fes51knoQLawpPhBNMivH7ZcYHUJPqgEG+YSAQx GA23O4QUgQseNMhuxdpEAA== 0001144204-04-009822.txt : 20040712 0001144204-04-009822.hdr.sgml : 20040712 20040712113235 ACCESSION NUMBER: 0001144204-04-009822 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040708 FILED AS OF DATE: 20040712 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: 246 CROSSWAYS PARK WEST STREET 2: . CITY: WOODBURY STATE: NY ZIP: 11797 BUSINESS PHONE: 516-992-1900 MAIL ADDRESS: STREET 1: 246 CROSSWAYS PARK WEST STREET 2: . CITY: WOODBURY STATE: NY ZIP: 11797 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: LEVY JEFFREY CENTRAL INDEX KEY: 0001197704 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-50296 FILM NUMBER: 04909432 BUSINESS ADDRESS: STREET 1: 4212 PICKERING PLACE CITY: ALEXANDRIA STATE: VA ZIP: 22309 BUSINESS PHONE: 5169921900 MAIL ADDRESS: STREET 1: 4212 PICKERING PLACE CITY: ALEXANDRIA STATE: VA ZIP: 22309 4 1 v04467_4-levyex.xml X0202 4 2004-07-08 0 0001040896 INTELLI CHECK INC IDN 0001197704 LEVY JEFFREY 4212 PICKERING PLACE ALEXANDRIA VA 22309 1 0 0 0 Option (Right to Buy) 5.25 2004-07-08 4 A 0 4000 0 A 2004-07-08 2014-07-08 Common Stock 4000 4000 D Option (Right to Buy) 8.22 2003-07-10 4 A 0 79000 0 A 2003-07-10 2008-07-10 Common Stock 79000 79000 D Option (Right to Buy) 2.80 2002-07-15 4 A 0 3000 0 A 2002-07-15 2007-07-15 Common Stock 3000 3000 D Option (Right to Buy) 11.625 1999-12-13 4 A 0 15000 0 A 1999-12-13 2004-12-13 Common Stock 15000 15000 D Option (Right to Buy) 12.125 2000-03-13 4 A 0 2500 0 A 2000-03-13 2005-03-13 Common Stock 2500 2500 D Option (Right to Buy) 8.00 2000-05-08 4 A 0 1500 0 A 2000-05-08 2005-05-08 Common Stock 1500 1500 D Option (Right to Buy) 8.75 2000-07-13 4 A 0 30000 0 A 2001-07-13 2007-07-13 Common Stock 30000 30000 D Option (Right to Buy) 8.75 2000-07-13 4 A 0 5500 0 A 2000-07-13 2005-07-13 Common Stock 5500 5500 D Option (Right to Buy) 10.15 2001-07-11 4 A 0 5500 0 A 2001-07-11 2006-07-11 Common Stock 5500 5500 D Option (Right to Buy) 6.22 2003-03-17 4 A 0 1000 0 A 2003-03-17 2008-03-17 Common Stock 1000 1000 D Rights 8.50 2001-10-05 4 A 0 3950 0 A 2001-10-05 2005-06-30 Common Stock 3950 3950 D Rights 8.50 2001-10-05 4 A 0 30 0 A 2001-10-05 2005-06-30 Common Stock 30 30 D Currently exercisable to the extent of 54,000, with an additional 25,000 becoming exercisable on the next anniversary of the date of grant provided the reporting person remains a member of the Board of Directors. /s/ Jeffrey Levy 2004-07-12 -----END PRIVACY-ENHANCED MESSAGE-----