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