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