-----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, O6YXddfvSd54GOy4NxiaEvtaFNNMJo1WFTvNz4BxSrKDhRHeJgGoR0uGtRl1WTD0 BOYsLF8OdtQGtCXnnu4hBg== 0001144204-04-021207.txt : 20041207 0001144204-04-021207.hdr.sgml : 20041207 20041207161956 ACCESSION NUMBER: 0001144204-04-021207 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: MANDELBAUM FRANK CENTRAL INDEX KEY: 0001099377 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-50296 FILM NUMBER: 041188674 BUSINESS ADDRESS: STREET 1: INTELLICHECK INC STREET 2: 775 PARK AVE CITY: HUNTINGTON STATE: NY ZIP: 11743 BUSINESS PHONE: 5164212011 4 1 v09655_mandelbaumex.xml X0202 4 2004-12-03 0 0001040896 INTELLI CHECK INC IDN 0001099377 MANDELBAUM FRANK 246 CROSSWAYS PARK WEST WOODBURY NY 11797 1 1 1 0 Chairman and CEO Option (Right to Buy) 4.37 2004-12-03 4 A 0 25000 0 A 2005-01-01 2015-01-01 Common Stock 25000 25000 D Option (Right to Buy) 4.37 2004-12-03 4 A 0 25000 0 A 2006-01-01 2016-01-01 Common Stock 25000 25000 D Option (Right to Buy) 4.37 2004-12-03 4 A 0 25000 0 A 2007-01-01 2017-01-01 Common Stock 25000 25000 D 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 2000-01-01 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 2002-01-01 2007-01-01 Common Stock 25000 25000 D Option (Right to Buy) 3.00 1999-07-15 4 A 0 375000 0 A 1999-07-15 2008-07-15 Common Stock 375000 375000 D Rights 8.50 2001-12-13 4 A 0 58000 0 A 2001-12-13 2005-06-30 Common Stock 58000 58000 D Rights 8.50 2001-10-05 4 A 0 43500 0 A 2001-10-05 2005-06-30 Common Stock 43500 43500 D Upon a transfer of shares to which the rights attach the rights are no longer exercisable Of these options, 275,000 are exercisable of which 125,000 were granted pursuant to the Issuer's 2001 Stock Option Plan.The remaining 75,000 non-plan options will become exercisable on December 31, 2004. /s/ Frank Mandelbaum 2004-12-07 -----END PRIVACY-ENHANCED MESSAGE-----