-----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, TylrdIw+J/OObvUj59pRFsRwcxSZLrOE2Kvze35fJXIdJMxx7sqSrMT6oKacfw1p ct+Wrm7QLo30g+UVY7vXkQ== 0001144204-05-013421.txt : 20050429 0001144204-05-013421.hdr.sgml : 20050429 20050429165601 ACCESSION NUMBER: 0001144204-05-013421 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050428 FILED AS OF DATE: 20050429 DATE AS OF CHANGE: 20050429 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: 05786864 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: 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 4 1 v017236_ex.xml X0202 4 2005-04-28 0 0001040896 INTELLI CHECK INC IDN 0001099377 MANDELBAUM FRANK 246 CROSSWAYS PARK WEST WOODBURY NY 11797 1 1 1 0 Chairman and CEO Common Stock, $.001 par value 2005-04-28 4 G 0 5000 0 D 573577 D Rights 8.50 2005-04-28 4 D 0 2072 0 D 2001-10-05 2005-06-30 Common Stock 2072 0 D 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 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 41428 0 A 2001-10-05 2005-06-30 Common Stock 41428 41428 D Upon a transfer of shares to which the rights attach the rights are no longer exercisable. /s/ Frank Mandelbaum 2005-04-29 -----END PRIVACY-ENHANCED MESSAGE-----