0001493152-16-010196.txt : 20160523 0001493152-16-010196.hdr.sgml : 20160523 20160523155423 ACCESSION NUMBER: 0001493152-16-010196 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: Roof William H CENTRAL INDEX KEY: 0001616820 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-50296 FILM NUMBER: 161668972 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 0001616820 Roof William H 100 JERICHO QUADRANGLE SUITE 202 JERICHO NY 11753 0 1 0 0 CEO and President Restricted Stock Unit 1.86 2016-05-19 4 A 0 10907 0 A 2017-01-02 Common Stock 10907 10907 D Restricted Stock Unit shall become earned and vested, and shares of stock shall be issued in settlement of Vested Restricted Stock Units on January 2, 2017. /s/ Bill White, Attorney-In-Fact 2016-05-23