0001144204-12-052477.txt : 20120921 0001144204-12-052477.hdr.sgml : 20120921 20120921164049 ACCESSION NUMBER: 0001144204-12-052477 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120919 FILED AS OF DATE: 20120921 DATE AS OF CHANGE: 20120921 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: 121104570 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 v324224_4.xml OWNERSHIP DOCUMENT X0306 4 2012-09-19 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 2012-09-19 4 M 0 208200 0.46 A 628595 D Common Stock, $.001 par value 2012-09-19 4 M 0 16365 0.92 A 644960 D Common Stock, $.001 par value 2012-09-19 4 S 0 37200 1.83 D 607760 D Common Stock, $.001 par value 2012-09-19 4 S 0 5100 1.835 D 602660 D Common Stock, $.001 par value 2012-09-19 4 S 0 15802 1.84 D 586858 D Common Stock, $.001 par value 2012-09-19 4 S 0 1800 1.842 D 585058 D Common Stock, $.001 par value 2012-09-19 4 S 0 24700 1.845 D 560358 D Common Stock, $.001 par value 2012-09-19 4 S 0 3900 1.847 D 556458 D Common Stock, $.001 par value 2012-09-19 4 S 0 3200 1.85 D 553258 D Common Stock, $.001 par value 2012-09-19 4 S 0 3898 1.86 D 549360 D Common Stock, $.001 par value 2012-09-19 4 S 0 300 1.865 D 549060 D Common Stock, $.001 par value 2012-09-19 4 S 0 100 1.869 D 548960 D Common Stock, $.001 par value 2012-09-19 4 S 0 1800 1.87 D 547160 D Common Stock, $.001 par value 2012-09-19 4 S 0 400 1.875 D 546760 D Common Stock, $.001 par value 2012-09-19 4 S 0 100 1.88 D 546660 D Common Stock, $.001 par value 2012-09-19 4 S 0 400 1.885 D 546260 D Common Stock, $.001 par value 2012-09-20 4 S 0 67987 1.84 D 478273 D Common Stock, $.001 par value 2012-09-20 4 S 0 25200 1.845 D 453073 D Option (Right to Buy) 0.46 2012-09-19 4 M 0 208200 0 D 2008-03-14 2013-03-14 Common Stock 208200 0 D Option (Right to Buy) 0.92 2012-09-19 4 M 0 16365 0 D 2008-03-14 2013-03-14 Common Stock 16365 0 D /s/ Steven D. Williams 2012-09-21