0001493152-22-000046.txt : 20220103 0001493152-22-000046.hdr.sgml : 20220103 20220103090628 ACCESSION NUMBER: 0001493152-22-000046 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211230 FILED AS OF DATE: 20220103 DATE AS OF CHANGE: 20220103 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Lewis Bryan CENTRAL INDEX KEY: 0001732564 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-15465 FILM NUMBER: 22500570 MAIL ADDRESS: STREET 1: 100 JERICHO QUADRANGLE STREET 2: SUITE 202 CITY: JERICHO STATE: NY ZIP: 11753 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 2021-12-30 0 0001040896 Intellicheck, Inc. IDN 0001732564 Lewis Bryan 200 BROADHOLLOW ROAD, SUITE 207 MELVILLE NY 11747 1 1 0 0 CEO Common Stock, $.001 par value 2021-12-30 4 P 0 2000 4.999 A 182777 D Common Stock, $.001 par value 2021-12-30 4 P 0 3000 4.995 A 185777 D /s/ Bryan Lewis 2022-01-03