0001144204-12-028383.txt : 20120514
0001144204-12-028383.hdr.sgml : 20120514
20120514114710
ACCESSION NUMBER: 0001144204-12-028383
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20120511
FILED AS OF DATE: 20120514
DATE AS OF CHANGE: 20120514
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Smith Guy L
CENTRAL INDEX KEY: 0001326916
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-50296
FILM NUMBER: 12837253
MAIL ADDRESS:
STREET 1: 246 CROSSWAYS PARK WEST
CITY: WOODBURY
STATE: NY
ZIP: 11797
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
v313158_form4.xml
OWNERSHIP DOCUMENT
X0305
4
2012-05-11
0
0001040896
Intellicheck Mobilisa, Inc.
IDN
0001326916
Smith Guy L
191 OTTO STREET
PORT TOWNSEND
WA
98368
1
0
0
0
Common Stock, $.001 par value
2012-05-11
4
P
0
366
1.63
A
62573
D
Common Stock, $.001 par value
2012-05-11
4
P
0
30
1.64
A
62603
D
Common Stock, $.001 par value
2012-05-11
4
P
0
100
1.68
A
62703
D
Common Stock, $.001 par value
2012-05-11
4
P
0
2200
1.6946
A
64903
D
Common Stock, $.001 par value
2012-05-11
4
P
0
2700
1.70
A
67603
D
/s/ Guy L. Smith
2012-05-14