0001493152-16-007678.txt : 20160226 0001493152-16-007678.hdr.sgml : 20160226 20160226163308 ACCESSION NUMBER: 0001493152-16-007678 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160224 FILED AS OF DATE: 20160226 DATE AS OF CHANGE: 20160226 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: Roof William H CENTRAL INDEX KEY: 0001616820 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-50296 FILM NUMBER: 161462423 MAIL ADDRESS: STREET 1: 191 OTTO STREET CITY: PORT TOWNSEND STATE: WA ZIP: 98368 4 1 form4.xml X0306 4 2016-02-24 0 0001040896 Intellicheck Mobilisa, Inc. IDN 0001616820 Roof William H 191 OTTO STREET PORT TOWNSEND WA 98368 0 1 0 0 President and CEO Option (Right to Buy) 1.01 2016-02-24 4 A 0 55697 0 A 2016-02-24 2021-02-24 Common Stock 55697 680088 D Issued under the Company's 2015 Omnibus Incentive Plan. Options shall vest immediately. Amount includes 237,589 shares issuable upon the exercise of stock options. /s/ Bill White, Attorney-In-Fact 2016-02-26