-----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, JzfBhRAfQSQWhP2xDMhQFXXCTgNzpOm6xFMzY49A6KJ6mkRWWoBGs1gFu/jzzL/P 4blsAuLSBvi1m3ms98hwLg== 0001144204-04-021202.txt : 20041207 0001144204-04-021202.hdr.sgml : 20041207 20041207161428 ACCESSION NUMBER: 0001144204-04-021202 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041203 FILED AS OF DATE: 20041207 DATE AS OF CHANGE: 20041207 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: EMBRY RUSSELL T CENTRAL INDEX KEY: 0001197709 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-50296 FILM NUMBER: 041188649 MAIL ADDRESS: STREET 1: INTELLI CHECK INC STREET 2: 246 CROSSWAYS PARK CITY: WOODBURY STATE: NY ZIP: 11797 4 1 v09671_embryex.xml X0202 4 2004-12-03 0 0001040896 INTELLI CHECK INC IDN 0001197709 EMBRY RUSSELL T 246 CROSSWAYS PARK WEST WOODBURY NY 11797 0 1 0 0 Senior VP & CTO Option ( Right to Buy) 7.50 1999-07-19 4 A 0 10000 0 A 2000-07-19 2005-07-19 Common Stock 10000 10000 D Option ( Right to Buy) 7.50 1999-07-19 4 A 0 2500 0 A 2000-07-05 2005-07-05 Common Stock 2500 2500 D Option ( Right to Buy) 7.50 1999-07-19 4 A 0 5000 0 A 2001-06-18 2006-06-18 Common Stock 5000 5000 D Option ( Right to Buy) 11.625 1999-12-13 4 A 0 10000 0 A 1999-12-13 2004-12-13 Common Stock 10000 10000 D Option ( Right to Buy) 11.625 1999-12-13 4 A 0 10000 0 A 2000-12-13 2005-12-13 Common Stock 10000 10000 D Option ( Right to Buy) 8.75 2000-07-11 4 A 0 12500 0 A 2000-07-11 2005-07-11 Common Stock 12500 12500 D Option ( Right to Buy) 8.75 2000-07-11 4 A 0 12500 0 A 2001-01-11 2006-01-11 Common Stock 12500 12500 D Rights 8.50 2001-10-05 4 A 0 5250 0 A 2001-10-05 2005-06-30 Common Stock 5250 5250 D Option ( Right to Buy) 3.82 2002-10-31 4 A 0 6250 0 A 2002-10-31 2007-10-31 Common Stock 6250 6250 D Option ( Right to Buy) 3.82 2002-10-31 4 A 0 6250 0 A 2003-04-30 2008-04-30 Common Stock 6250 6250 D Option ( Right to Buy) 7.44 2003-11-05 4 A 0 6250 0 A 2003-11-05 2008-11-05 Common Stock 6250 6250 D Option ( Right to Buy) 7.44 2003-11-05 4 A 0 6250 0 A 2004-05-05 2009-05-05 Common Stock 6250 6250 D Option ( Right to Buy) 4.37 2004-12-03 4 A 0 5000 0 A 2004-12-03 2009-12-03 Common Stock 5000 5000 D Option ( Right to Buy) 4.37 2004-12-03 4 A 0 5000 0 A 2005-06-03 2010-06-03 Common Stock 5000 5000 D Upon a transfer of shares to which the rights attach the rights are no longer exercisable. /s/ Russell T. Embry 2004-12-07 -----END PRIVACY-ENHANCED MESSAGE-----