0001628280-23-033581.txt : 20231003
0001628280-23-033581.hdr.sgml : 20231003
20231003124146
ACCESSION NUMBER: 0001628280-23-033581
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230929
FILED AS OF DATE: 20231003
DATE AS OF CHANGE: 20231003
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: 231302318
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
wk-form4_1696351292.xml
FORM 4
X0508
4
2023-09-29
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)
2.25
2023-09-29
4
A
0
2222
0
A
2023-09-29
Common Stock, $.001 par value
2222
2222
D
Restricted Stock Units became earned and vested, and shares of common stock were issued in settlement of Vested Restricted Stock Units on September 29, 2023
/s/ Jeffrey Ishmael, Attorney-In-Fact
2023-10-03