0001493152-20-009091.txt : 20200515
0001493152-20-009091.hdr.sgml : 20200515
20200515160540
ACCESSION NUMBER: 0001493152-20-009091
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20200514
FILED AS OF DATE: 20200515
DATE AS OF CHANGE: 20200515
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: EMBRY RUSSELL T
CENTRAL INDEX KEY: 0001197709
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-15465
FILM NUMBER: 20885004
MAIL ADDRESS:
STREET 1: INTELLI CHECK INC
STREET 2: 246 CROSSWAYS PARK
CITY: WOODBURY
STATE: NY
ZIP: 11797
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
2020-05-14
0
0001040896
Intellicheck, Inc.
IDN
0001197709
EMBRY RUSSELL T
535 BROAD HOLLOW ROAD, SUITE B51
MELVILLE
NY
11747
0
1
0
0
Chief Technology Officer
Common Stock, $.001 par value
2020-05-14
4
F
0
18970
6.63
D
23514
D
Common Stock, $.001 par value
2020-05-14
4
M
0
14907
1.42
A
19451
D
Option (Right to Buy)
1.42
2020-05-14
4
M
0
18970
0
D
2015-05-20
2020-05-20
Common Stock
18970
0
D
Of the 18,970 options granted, 4,063 shares were surrendered to Intellicheck as settlement for exercise resulting in the acquisition of 14,907 shares.
/s/ Russell T. Embry
2020-05-15