0001493152-21-005885.txt : 20210312
0001493152-21-005885.hdr.sgml : 20210312
20210312152745
ACCESSION NUMBER: 0001493152-21-005885
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210310
FILED AS OF DATE: 20210312
DATE AS OF CHANGE: 20210312
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: 21737122
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: 200 BROADHOLLOW ROAD
STREET 2: SUITE 207
CITY: MELVILLE
STATE: NY
ZIP: 11747
BUSINESS PHONE: 516-992-1900
MAIL ADDRESS:
STREET 1: 200 BROADHOLLOW ROAD
STREET 2: SUITE 207
CITY: MELVILLE
STATE: NY
ZIP: 11747
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
2021-03-10
0
0001040896
Intellicheck, Inc.
IDN
0001197709
EMBRY RUSSELL T
200 BROADHOLLOW ROAD, SUITE 207
MELVILLE
NY
11747
0
1
0
0
Chief Technology Officer
Option (Right to Buy)
11.50
2021-03-10
4
A
0
13102
0
A
2022-03-10
2026-03-10
Common Stock
13102
0
D
Restricted Stock Unit
11.50
2021-03-10
4
A
0
13696
0
A
2022-03-10
Common Stock
13696
0
D
Restricted Stock Unit
11.50
2021-03-10
4
A
0
23256
0
A
2021-03-10
Common Stock
23256
0
D
Options shall vest at a rate of one-third after year one and the remaining two-thirds shall vest quarterly over the following two years
Restricted Stock Units shall vest at a rate of one-third after year one and the remaining two-thirds shall vest quarterly over the following two years
Restricted Stock Units shall vest at a rate of one-third immediately and the remaining two-thirds shall vest quarterly over the following three years
/s/ Russell T. Embry
2021-03-12