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