0001144204-13-034456.txt : 20130612
0001144204-13-034456.hdr.sgml : 20130612
20130612105256
ACCESSION NUMBER: 0001144204-13-034456
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20130611
FILED AS OF DATE: 20130612
DATE AS OF CHANGE: 20130612
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
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Bedard Emil R
CENTRAL INDEX KEY: 0001428950
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-50296
FILM NUMBER: 13908138
MAIL ADDRESS:
STREET 1: 191 OTTO STREET
CITY: PORT TOWNSEND
STATE: WA
ZIP: 98368
4
1
v347613_4.xml
OWNERSHIP DOCUMENT
X0306
4
2013-06-11
0
0001040896
Intellicheck Mobilisa, Inc.
IDN
0001428950
Bedard Emil R
191 OTTO STREET
PORT TOWNSEND
WA
98368
1
0
0
0
Common Stock, $.001 par value
2013-06-11
4
M
0
78200
0.46
A
468494
D
Option (Right to Buy)
0.46
2013-06-11
4
M
0
78200
0
D
2008-03-14
2016-07-11
Common Stock
78200
0
D
/s/ Bill White Attorney-in-Fact
2013-06-12