0001144204-11-061620.txt : 20111107
0001144204-11-061620.hdr.sgml : 20111107
20111107152916
ACCESSION NUMBER: 0001144204-11-061620
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20111104
FILED AS OF DATE: 20111107
DATE AS OF CHANGE: 20111107
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Malone Michael
CENTRAL INDEX KEY: 0001525225
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-50296
FILM NUMBER: 111184451
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: 191 OTTO STREET
CITY: PORT TOWNSEND
STATE: WA
ZIP: 98368
BUSINESS PHONE: 516-992-1900
MAIL ADDRESS:
STREET 1: 191 OTTO STREET
CITY: PORT TOWNSEND
STATE: WA
ZIP: 98368
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
v239417_4.xml
OWNERSHIP DOCUMENT
X0304
4
2011-11-04
0
0001040896
Intellicheck Mobilisa, Inc.
IDN
0001525225
Malone Michael
191 OTTO STREET
PORT TOWNSEND
WA
98368
1
0
0
0
Common Stock, $.001 par value
2011-11-04
4
P
0
2391
1.06
A
2391
D
Common Stock, $.001 par value
2011-11-04
4
P
0
1228
1.07
A
3619
D
Common Stock, $.001 par value
2011-11-04
4
P
0
700
1.09
A
4319
D
Common Stock, $.001 par value
2011-11-04
4
P
0
681
1.10
A
5000
D
/s/ Michael D. Malone
2011-11-07