0001493152-22-018599.txt : 20220705
0001493152-22-018599.hdr.sgml : 20220705
20220705191403
ACCESSION NUMBER: 0001493152-22-018599
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: EMBRY RUSSELL T
CENTRAL INDEX KEY: 0001197709
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-15465
FILM NUMBER: 221066980
MAIL ADDRESS:
STREET 1: INTELLI CHECK INC
STREET 2: 246 CROSSWAYS PARK
CITY: WOODBURY
STATE: NY
ZIP: 11797
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
0001197709
EMBRY RUSSELL T
200 BROADHOLLOW ROAD, SUITE 207
MELVILLE
NY
11747
0
1
0
0
Chief Technology Officer
Common Stock, $.001 par value
2022-06-30
4
A
0
1292
11.50
A
114618
D
Common Stock, $.001 par value
2022-06-30
4
A
0
1141
11.50
A
115759
D
Stock Option (Right to Buy)
2.02
2022-06-30
4
A
0
25000
0
A
2023-06-30
2027-06-30
Common Stock
25000
25000
D
Of the 23,256 Restricted Stock Units granted one-third vested immediately and the remaining two-thirds vest quarterly over the following three years
Of the 13,696 Restricted Stock Units granted one-third vested after year one and the remaining two-thirds vest quarterly over the following two years
Of the stock options granted, 50% (12,500) of the options have no premium (i.e., exercise price equals stock price at grant); 25% (6,250) of the options would have a 25% premium (i.e., exercise price equals stock price at grant plus 25%); and 25% (6,250) 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/ Russell T. Embry
2022-07-05