0001493152-19-019936.txt : 20191231 0001493152-19-019936.hdr.sgml : 20191231 20191231163850 ACCESSION NUMBER: 0001493152-19-019936 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20191212 FILED AS OF DATE: 20191231 DATE AS OF CHANGE: 20191231 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: 191319827 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 2019-12-12 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 2019-12-12 4 P 0 185 8.15 A 2060 I Spouse These shares are owned by Mr. Lewis' spouse. Mr. Lewis disclaims beneficial ownership of these shares. /s/ Bryan Lewis 2019-12-31