0001144204-14-074929.txt : 20141219 0001144204-14-074929.hdr.sgml : 20141219 20141219131012 ACCESSION NUMBER: 0001144204-14-074929 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20141218 FILED AS OF DATE: 20141219 DATE AS OF CHANGE: 20141219 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: Williamsen Robert N CENTRAL INDEX KEY: 0001628614 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-50296 FILM NUMBER: 141298528 MAIL ADDRESS: STREET 1: 191 OTTO STREET CITY: PORT TOWNSEND STATE: WA ZIP: 98368 3 1 v397108_form3.xml FORM 3 X0206 3 2014-12-18 0 0001040896 Intellicheck Mobilisa, Inc. IDN 0001628614 Williamsen Robert N 191 OTTO STREET PORT TOWNSEND WA 98368 0 1 0 0 Chief Revenue Officer Stock Option (Right to Buy) 3.09 2015-12-18 2019-12-18 Common Stock, par value $.001 100000 D Issued under the Company's 2006 Equity Incentive Plan. Option shall vest 25% per year beginning on first anniversary of date of grant. /s/ Robert N. Williamsen 2014-12-19