0001628280-23-011079.txt : 20230406 0001628280-23-011079.hdr.sgml : 20230406 20230406210838 ACCESSION NUMBER: 0001628280-23-011079 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230331 FILED AS OF DATE: 20230406 DATE AS OF CHANGE: 20230406 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: DAVIS JACK ALAN CENTRAL INDEX KEY: 0001356205 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-15465 FILM NUMBER: 23807632 MAIL ADDRESS: STREET 1: 1520 OLD TROLLEY ROAD CITY: SUMMERVILLE STATE: SC ZIP: 29485 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_168082970590663.xml FORM 4 X0407 4 2023-03-31 0 0001040896 Intellicheck, Inc. IDN 0001356205 DAVIS JACK ALAN 200 BROADHOLLOW ROAD, SUITE 207 MELVILLE, NY 11747 1 0 0 0 0 Restricted Stock Units (RSU's) 0.0 2023-03-31 4 A 0 2000 0 A 2023-03-31 Common Stock, $.001 par value 2000.0 2000 D Restricted Stock Units became earned and vested and shares of common stock were issued in settlement of Vested Restricted Stock Units on March 31, 2023. /s/ Jeffrey Ishmael, Attorney-In-Fact 2023-04-06