-----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, A1cI3w1BzdZWTauIzP5Cp5rYsHiX70+URxlS5A9LksS2wZeDe045ERi685oVpMDc SJ1a/Oqpmt+6whWUvDP+cQ== 0001144204-09-050276.txt : 20090928 0001144204-09-050276.hdr.sgml : 20090928 20090928122852 ACCESSION NUMBER: 0001144204-09-050276 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20090925 FILED AS OF DATE: 20090928 DATE AS OF CHANGE: 20090928 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Intelli Check Mobilisa, 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 CITY: WOODBURY STATE: NY ZIP: 11797 BUSINESS PHONE: 516-992-1900 MAIL ADDRESS: STREET 1: 246 CROSSWAYS PARK WEST CITY: WOODBURY STATE: NY ZIP: 11797 FORMER COMPANY: FORMER CONFORMED NAME: INTELLI CHECK INC DATE OF NAME CHANGE: 19990917 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Lange John Robert CENTRAL INDEX KEY: 0001443974 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-50296 FILM NUMBER: 091089603 MAIL ADDRESS: STREET 1: 11191 CHRISTOPHER PLACE CITY: BAINBRIDGE ISLAND STATE: WA ZIP: 98110 4 1 v161422_ex.xml X0303 4 2009-09-25 0 0001040896 Intelli Check Mobilisa, Inc IDN 0001443974 Lange John Robert 191 OTTO STREET PORT TOWNSEND WA 98368 0 1 0 0 General Counsel Option (Right to Buy) 1.57 2009-09-25 4 A 0 20000 0 A 2014-09-25 Common Stock 20000 20000 D Options shall vest at a rate of 25% per year on each anniversary of the date of grant for the first four years. /s/ John Lange 2009-09-28 -----END PRIVACY-ENHANCED MESSAGE-----