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