0001493152-19-004006.txt : 20190327
0001493152-19-004006.hdr.sgml : 20190327
20190327155931
ACCESSION NUMBER: 0001493152-19-004006
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190326
FILED AS OF DATE: 20190327
DATE AS OF CHANGE: 20190327
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Lewis Bryan
CENTRAL INDEX KEY: 0001732564
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-50296
FILM NUMBER: 19708392
MAIL ADDRESS:
STREET 1: 100 JERICHO QUADRANGLE
STREET 2: SUITE 202
CITY: JERICHO
STATE: NY
ZIP: 11753
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Intellicheck, 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: Intellicheck Mobilisa, Inc.
DATE OF NAME CHANGE: 20100527
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
4
1
ownership.xml
X0306
4
2019-03-26
0
0001040896
Intellicheck, Inc.
IDN
0001732564
Lewis Bryan
535 BROAD HOLLOW ROAD,
SUITE B51
MELVILLE
NY
11747
0
1
0
0
President and CEO
Common Stock, $.001 par value
2019-03-26
4
A
0
1587
3.38
A
1587
I
Spouse
Common Stock, $.001 par value
2019-03-27
4
A
0
288
3.46
A
1875
I
Spouse
These shares are owned by Mr. Lewis' spouse. Mr. Lewis disclaims beneficial ownership of these shares.
/s/ Bryan Lewis
2019-03-27