0001493152-22-023797.txt : 20220823
0001493152-22-023797.hdr.sgml : 20220823
20220823100559
ACCESSION NUMBER: 0001493152-22-023797
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220822
FILED AS OF DATE: 20220823
DATE AS OF CHANGE: 20220823
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: 221185295
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
2022-08-22
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
2022-08-01
4
G
0
3422
2.50
A
5482
I
Spouse
Common Stock, $.001 par value
2022-08-22
4
P
0
3000
2.4978
A
252384
D
Common Stock, $.001 par value
2022-08-22
4
P
0
3000
2.5006
A
255384
D
Common Stock, $.001 par value
2022-08-22
4
P
0
2000
2.4966
A
257384
D
Common Stock, $.001 par value
2022-08-22
4
P
0
2000
2.4953
A
259384
D
These shares are owned by Mr. Lewis' spouse. Mr. Lewis disclaims beneficial ownership of these shares.
/s/ Bryan Lewis
2022-08-23