0001493152-15-004653.txt : 20151002
0001493152-15-004653.hdr.sgml : 20151002
20151002125434
ACCESSION NUMBER: 0001493152-15-004653
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20150930
FILED AS OF DATE: 20151002
DATE AS OF CHANGE: 20151002
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: 151139360
MAIL ADDRESS:
STREET 1: 1520 OLD TROLLEY ROAD
CITY: SUMMERVILLE
STATE: SC
ZIP: 29485
4
1
form4.xml
X0306
4
2015-09-30
0
0001040896
Intellicheck Mobilisa, Inc.
IDN
0001356205
DAVIS JACK ALAN
191 OTTO STREET
PORT TOWNSEND
WA
98368
1
0
0
0
Restricted Stock Unit
0.90
2015-09-30
4
A
0
4166
0
A
2015-09-30
Common Stock
4166
4166
D
Restricted Stock Units shall become earned and vested, and shares of stock shall be issued in settlement of Vested Restricted Stock Units on September 30, 2015.
/s/ Bill White, Attorney-In-Fact
2015-10-02