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