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