0001144204-11-016274.txt : 20110322 0001144204-11-016274.hdr.sgml : 20110322 20110322123508 ACCESSION NUMBER: 0001144204-11-016274 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20110321 FILED AS OF DATE: 20110322 DATE AS OF CHANGE: 20110322 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Bedard Emil R CENTRAL INDEX KEY: 0001428950 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-50296 FILM NUMBER: 11703389 MAIL ADDRESS: STREET 1: 191 OTTO STREET CITY: PORT TOWNSEND STATE: WA ZIP: 98368 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 v215551_ex.xml X0303 4 2011-03-21 0 0001040896 Intellicheck Mobilisa, Inc. IDN 0001428950 Bedard Emil R 191 OTTO STREET PORT TOWNSEND WA 98368 1 0 0 0 Common Stock, $.001 par value 2011-03-21 4 M 0 60000 .46 A 315294 D Option (Right to Buy) .46 2011-03-21 4 M 0 60000 0 D 2008-03-14 2014-09-30 Common Stock 60000 44100 D /s/ Emil R. Bedard 2011-03-22