0001144204-11-032579.txt : 20110526 0001144204-11-032579.hdr.sgml : 20110526 20110526135320 ACCESSION NUMBER: 0001144204-11-032579 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20110526 FILED AS OF DATE: 20110526 DATE AS OF CHANGE: 20110526 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Williams Steven Durrelle CENTRAL INDEX KEY: 0001429621 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-50296 FILM NUMBER: 11873429 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 v224291_ex.xml X0303 4 2011-05-26 0 0001040896 Intellicheck Mobilisa, Inc. IDN 0001429621 Williams Steven Durrelle 191 OTTO STREET PORT TOWNSEND WA 98368 0 1 0 0 Chief Executive Officer Common Stock, $.001 par value 2011-05-26 4 M 0 10000 0.46 A 420395 D Option (Right to Buy) 0.46 2011-05-26 4 M 0 10000 0 D 2008-03-14 2013-03-14 Common Stock 10000 208200 D /s/ Steven D. Williams 2011-05-26