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