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