0001493152-17-000094.txt : 20170104 0001493152-17-000094.hdr.sgml : 20170104 20170104104921 ACCESSION NUMBER: 0001493152-17-000094 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161230 FILED AS OF DATE: 20170104 DATE AS OF CHANGE: 20170104 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: Smith Guy L CENTRAL INDEX KEY: 0001326916 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-50296 FILM NUMBER: 17503912 MAIL ADDRESS: STREET 1: 246 CROSSWAYS PARK WEST CITY: WOODBURY STATE: NY ZIP: 11797 4 1 form4.xml X0306 4 2016-12-30 0 0001040896 Intellicheck Mobilisa, Inc. IDN 0001326916 Smith Guy L 100 JERICHO QUADRANGLE, SUITE 202 JERICHO NY 11753 1 0 0 0 Restricted Stock Unit 2.75 2016-12-30 4 A 0 5454 0 A 2016-12-30 Common Stock 5454 5454 D Restricted Stock Units shall become earned and vested, and shares of stock shall be issued in settlement of Vested Restricted Stock Units on December 30, 2016. /s/ Bill White, Attorney-In-Fact 2017-01-04