0001628280-23-006963.txt : 20230308 0001628280-23-006963.hdr.sgml : 20230308 20230308153916 ACCESSION NUMBER: 0001628280-23-006963 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230303 FILED AS OF DATE: 20230308 DATE AS OF CHANGE: 20230308 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: 23715996 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 wf-form4_167830794374394.xml FORM 4 X0306 4 2023-03-03 0 0001040896 Intellicheck, Inc. IDN 0001197709 EMBRY RUSSELL T 200 BROADHOLLOW ROAD, SUITE 207 MELVILLE NY 11747 0 1 0 0 Chief Technology Officer Stock Option (Right to Buy) 2.7 2023-03-03 4 A 0 22500 2.70 A 2024-03-03 2028-03-03 Common Stock 22500.0 22500 D Of these options, 50% (11,250) have no premium (i.e. exercise price equals stock price at grant); 25% (5,625) of the options have a 20% premium (i.e. exercise price equals stock price at grant plus 20%); and 25% (5,625) of the options have a 40% premium (i.e. exercise price equals stock price at grant plus 40%). 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 2023-03-08