0001493152-16-010192.txt : 20160523
0001493152-16-010192.hdr.sgml : 20160523
20160523154929
ACCESSION NUMBER: 0001493152-16-010192
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160519
FILED AS OF DATE: 20160523
DATE AS OF CHANGE: 20160523
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: 100 JERICHO QUADRANGLE,
STREET 2: SUITE 202
CITY: JERICHO
STATE: NY
ZIP: 11753
BUSINESS PHONE: 516-992-1900
MAIL ADDRESS:
STREET 1: 100 JERICHO QUADRANGLE,
STREET 2: SUITE 202
CITY: JERICHO
STATE: NY
ZIP: 11753
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: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-50296
FILM NUMBER: 161668949
MAIL ADDRESS:
STREET 1: 191 OTTO STREET
CITY: PORT TOWNSEND
STATE: WA
ZIP: 98368
4
1
form4.xml
X0306
4
2016-05-19
0
0001040896
Intellicheck Mobilisa, Inc.
IDN
0001628614
Williamsen Robert N
100 JERICHO QUADRANGLE,
SUITE 202
JERICHO
NY
11753
0
1
0
0
Chief Revenue Officer
Restricted Stock Unit
1.86
2016-05-19
4
A
0
9817
0
A
2016-05-19
Common Stock
9817
9817
D
Restricted Stock Units shall become earned and vested, and shares of stock shall be issued in settlement of Vested Restricted Stock Units on May 19, 2016.
Mr. Williamsen departed from the Company and ceased being an officer on May 19, 2016.
/s/ Bill White, Attorney-In-Fact
2016-05-23