0001144204-14-062805.txt : 20141024 0001144204-14-062805.hdr.sgml : 20141024 20141024155139 ACCESSION NUMBER: 0001144204-14-062805 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20141001 FILED AS OF DATE: 20141024 DATE AS OF CHANGE: 20141024 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: Roof William H CENTRAL INDEX KEY: 0001616820 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-50296 FILM NUMBER: 141172362 MAIL ADDRESS: STREET 1: 191 OTTO STREET CITY: PORT TOWNSEND STATE: WA ZIP: 98368 4 1 v392062_form4.xml FORM 4 X0306 4 2014-10-01 0 0001040896 Intellicheck Mobilisa, Inc. IDN 0001616820 Roof William H 191 OTTO STREET PORT TOWNSEND WA 98368 0 1 0 0 President and CEO Option (Right to Buy) 4.04 2014-10-01 4 A 0 60000 0 A 2015-10-01 2019-10-01 Common Stock 60000 76250 D This option shall become exercisable with respect to 25% of the shares as of the first anniversary of the date of grant and with respect to an additional 25% of the shares as of each of the second, third and fourth anniversaries of the date of grant. /s/ Bill White, Attorney-In-Fact 2014-10-24