0001493152-22-018597.txt : 20220705 0001493152-22-018597.hdr.sgml : 20220705 20220705191000 ACCESSION NUMBER: 0001493152-22-018597 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220630 FILED AS OF DATE: 20220705 DATE AS OF CHANGE: 20220705 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Gafke Garrett CENTRAL INDEX KEY: 0001854399 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-15465 FILM NUMBER: 221066977 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 4 1 ownership.xml X0306 4 2022-06-30 0 0001040896 Intellicheck, Inc. IDN 0001854399 Gafke Garrett 200 BROADHOLLOW ROAD, SUITE 207 MELVILLE NY 11747 0 1 0 0 President Common Stock, $.001 par value 2022-06-30 4 A 0 7500 8.56 A 63200 D Stock Option (Right to Buy) 2.02 2022-06-30 4 A 0 70000 0 A 2023-06-30 2027-06-30 Common Stock 70000 70000 D Of the 90,000 Restricted Stock Units granted, one third (30,000 shares) vested after year one and one-third vests quarterly over the following two years so that the RSUs are fully vested after three years. Of the stock options granted, 50% (35,000) of the options have no premium (i.e., exercise price equals stock price at grant); 25% (17,500) of the options would have a 25% premium (i.e., exercise price equals stock price at grant plus 25%); and 25% (17,500) of the options would have a 50% premium One-third of this Option shall vest upon the first anniversary of the date of grant and the remaining two-thirds of this Option shall vest quarterly over the following two years /s/ Garrett Gafke 2022-07-05