-----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, V0I6p9zdGSZaHe6INkZnOoSYFX1W/SCFtv8qtVYrGgO+GTJtydIIrJAg78ZCegE6 v2ab0+hO2kN50faBSGTLog== 0001144204-05-037138.txt : 20051121 0001144204-05-037138.hdr.sgml : 20051121 20051121165722 ACCESSION NUMBER: 0001144204-05-037138 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20051117 FILED AS OF DATE: 20051121 DATE AS OF CHANGE: 20051121 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: 051218629 MAIL ADDRESS: STREET 1: INTELLI CHECK INC STREET 2: 246 CROSSWAYS PARK CITY: WOODBURY STATE: NY ZIP: 11797 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 v030075_ex.xml X0202 4 2005-11-17 0 0001040896 INTELLI CHECK INC IDN 0001197709 EMBRY RUSSELL T INTELLI CHECK INC 246 CROSSWAYS PARK WOODBURY NY 11797 0 1 0 0 Senior VP & CTO 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 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 2001-01-11 2006-01-11 Common Stock 12500 12500 D Rights 8.50 2001-10-05 4 A 0 1500 0 A 2001-10-05 2006-06-30 Common Stock 1500 1500 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 Option (Right to buy) 3.18 2005-11-17 4 A 0 5000 0 A 2005-11-17 2010-11-17 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 2005-11-21 -----END PRIVACY-ENHANCED MESSAGE-----