0001144204-13-020144.txt : 20130404 0001144204-13-020144.hdr.sgml : 20130404 20130404124144 ACCESSION NUMBER: 0001144204-13-020144 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20130328 FILED AS OF DATE: 20130404 DATE AS OF CHANGE: 20130404 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: EMBRY RUSSELL T CENTRAL INDEX KEY: 0001197709 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-50296 FILM NUMBER: 13742312 MAIL ADDRESS: STREET 1: INTELLI CHECK INC STREET 2: 246 CROSSWAYS PARK 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 v340510_4.xml OWNERSHIP DOCUMENT X0306 4 2013-03-28 0 0001040896 Intellicheck Mobilisa, Inc. IDN 0001197709 EMBRY RUSSELL T 191 OTTO ST. PORT TOWNSEND WA 98368 0 1 0 0 Chief Technology Officer Option (Right to Buy) 0.39 2013-03-28 4 A 0 25000 0 A 2014-03-28 2018-03-28 Common Stock 25000 25000 D Issued under the Company's 2006 Equity Incentive Plan. Options vest 25% per year on anniversary of grant. s/ Russell T. Embry 2013-04-04