0001144204-12-056089.txt : 20121015
0001144204-12-056089.hdr.sgml : 20121015
20121015131600
ACCESSION NUMBER: 0001144204-12-056089
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20120811
FILED AS OF DATE: 20121015
DATE AS OF CHANGE: 20121015
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: 121143351
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
v325698_4.xml
OWNERSHIP DOCUMENT
X0306
4
2012-08-11
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
2012-08-11
4
M
0
1000
0.92
A
454073
I
Spouse
Option (Right to Buy)
0.92
2012-08-11
4
M
0
1000
0
D
2008-03-14
2013-03-14
Common Stock
1000
0
I
Spouse
/s/ Steven D. Williams
2012-10-15