0001493152-20-012815.txt : 20200708 0001493152-20-012815.hdr.sgml : 20200708 20200708094029 ACCESSION NUMBER: 0001493152-20-012815 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200706 FILED AS OF DATE: 20200708 DATE AS OF CHANGE: 20200708 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: White Billy Joe CENTRAL INDEX KEY: 0001546805 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-15465 FILM NUMBER: 201017422 MAIL ADDRESS: STREET 1: 191 OTTO ST. CITY: PORT TOWNSEND STATE: WA ZIP: 98368 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 2020-07-06 0 0001040896 Intellicheck, Inc. IDN 0001546805 White Billy Joe 535 BROAD HOLLOW ROAD, SUITE B51 MELVILLE NY 11747 0 1 0 0 CFO, COO, Secretary & Treas Common Stock, $.001 par value 2020-07-06 4 F 0 391875 8.17 D 31908 D Common Stock, $.001 par value 2020-07-06 4 M 0 212131 1.15 A 244039 D Option (Right to Buy) 1.15 2020-07-06 4 M 0 391875 0 D 2015-08-15 2020-08-11 Common Stock 391875 0 D Of the 391,875 options granted, 179,744 were surrendered to Intellicheck as settlement for the cashless exercise and tax withholding resulting in the acquisition of 212,131 shares. /s/ Billy Joe White 2020-07-08