0001493152-21-007372.txt : 20210331 0001493152-21-007372.hdr.sgml : 20210331 20210331135118 ACCESSION NUMBER: 0001493152-21-007372 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210323 FILED AS OF DATE: 20210331 DATE AS OF CHANGE: 20210331 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Gafke Garrett CENTRAL INDEX KEY: 0001854399 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-15465 FILM NUMBER: 21792331 MAIL ADDRESS: STREET 1: 200 BROADHOLLOW RD. STREET 2: SUITE 207 CITY: MELVILLE STATE: NY ZIP: 11747 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 3 1 ownership.xml X0206 3 2021-03-23 0 0001040896 Intellicheck, Inc. IDN 0001854399 Gafke Garrett 200 BROADHOLLOW ROAD, SUITE 207 MELVILLE, NY 11747 0 1 0 0 President Option (Right to Buy) 8.56 2022-03-23 2026-03-23 Common Stock 60000 D Restricted Stock Units (RSU's) 8.56 2022-03-23 Common Stock 90000 D Option shall vest at a rate of one-third after one year and one-third/quarterly (1/9th in each quarter) in each of the next two years so that the option is fully vested after three years. Restricted Stock Units shall vest at a rate of one-third after one year and one-third quarterly (1/9th in each quarter) in each of the next two years so that the RSUs are fully vested after three years. /s/ Garrett Gafke 2021-03-31