0001144204-11-013968.txt : 20110310 0001144204-11-013968.hdr.sgml : 20110310 20110310152434 ACCESSION NUMBER: 0001144204-11-013968 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20110309 FILED AS OF DATE: 20110310 DATE AS OF CHANGE: 20110310 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Paxton John W SR CENTRAL INDEX KEY: 0001428676 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-50296 FILM NUMBER: 11678305 MAIL ADDRESS: STREET 1: 1520 OLD TROLLEY ROAD CITY: SUMMERVILLE STATE: SC ZIP: 29485 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Intellicheck 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 Mobilisa, Inc DATE OF NAME CHANGE: 20080319 FORMER COMPANY: FORMER CONFORMED NAME: INTELLI CHECK INC DATE OF NAME CHANGE: 19990917 4 1 v214247_ex.xml X0303 4 2011-03-09 0 0001040896 Intellicheck Mobilisa, Inc. IDN 0001428676 Paxton John W SR 191 OTTO STREET PORT TOWNSEND WA 98368 1 0 0 1 Chairman Common Stock, $.001 par value 2011-03-09 4 A 0 80000 .46 A 140807 D Private Call (Right to Buy) .46 2011-03-09 4 M 0 80000 0 D 2008-03-14 2011-03-14 Common Stock 80000 138200 D /s/ John W. Paxton, Sr. 2011-03-10