0001144204-14-075292.txt : 20141222 0001144204-14-075292.hdr.sgml : 20141222 20141222150955 ACCESSION NUMBER: 0001144204-14-075292 CONFORMED SUBMISSION TYPE: 3/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20141218 FILED AS OF DATE: 20141222 DATE AS OF CHANGE: 20141222 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/A SEC ACT: 1934 Act SEC FILE NUMBER: 000-50296 FILM NUMBER: 141302725 MAIL ADDRESS: STREET 1: 191 OTTO STREET CITY: PORT TOWNSEND STATE: WA ZIP: 98368 3/A 1 v397332_form3a.xml OWNERSHIP DOCUMENT X0206 3/A 2014-12-18 2014-12-19 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 This amendment to the initial Form 3 is being filed to Amend the Form 3 that was filed by the filer December 19, 2014 to reflect that the options described above were not issued under the Company's 2006 Equity Incentive Plan but instead issued outside of such plan as an employment inducement award. Option shall vest 25% per year beginning on first anniversary of date of grant. /s/ Robert N. Williamsen 2014-12-22