0001493152-22-000089.txt : 20220103
0001493152-22-000089.hdr.sgml : 20220103
20220103140800
ACCESSION NUMBER: 0001493152-22-000089
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20211231
FILED AS OF DATE: 20220103
DATE AS OF CHANGE: 20220103
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: DAVIS JACK ALAN
CENTRAL INDEX KEY: 0001356205
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-15465
FILM NUMBER: 22501584
MAIL ADDRESS:
STREET 1: 1520 OLD TROLLEY ROAD
CITY: SUMMERVILLE
STATE: SC
ZIP: 29485
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
2021-12-31
0
0001040896
Intellicheck, Inc.
IDN
0001356205
DAVIS JACK ALAN
200 BROADHOLLOW ROAD, SUITE 207
MELVILLE,
NY
11747
1
0
0
0
Restricted Stock Units (RSU's)
4.62
2021-12-31
4
A
0
2165
0
A
2021-12-31
Common Stock
2165
2165
D
Restricted Stock Units became earned and vested, and shares of common stock were issued in settlement of Vested Restricted Stock Units on December 31, 2021.
/s/ Bill White, Attorney-In-Fact
2022-01-03