0001493152-15-003636.txt : 20150813
0001493152-15-003636.hdr.sgml : 20150813
20150813174956
ACCESSION NUMBER: 0001493152-15-003636
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20150811
FILED AS OF DATE: 20150813
DATE AS OF CHANGE: 20150813
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: DAVIS JACK ALAN
CENTRAL INDEX KEY: 0001356205
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-50296
FILM NUMBER: 151051846
MAIL ADDRESS:
STREET 1: 1520 OLD TROLLEY ROAD
CITY: SUMMERVILLE
STATE: SC
ZIP: 29485
4
1
form4.xml
X0306
4
2015-08-11
0
0001040896
Intellicheck Mobilisa, Inc.
IDN
0001356205
DAVIS JACK ALAN
191 OTTO STREET
PORT TOWNSEND
WA
98368
1
0
0
0
Option (Right to Buy)
1.15
2015-08-11
4
A
0
50000
0
A
2016-08-11
2020-08-11
Common Stock
50000
50000
D
Issued under the Company's 2015 Omnibus Incentive Plan. Options shall fully vest one year from date of grant.
s/ Bill White, Attorney-In-Fact
2015-08-13