0001854399-22-000005.txt : 20221206 0001854399-22-000005.hdr.sgml : 20221206 20221206165356 ACCESSION NUMBER: 0001854399-22-000005 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20221205 FILED AS OF DATE: 20221206 DATE AS OF CHANGE: 20221206 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Gafke Garrett CENTRAL INDEX KEY: 0001854399 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-15465 FILM NUMBER: 221448292 MAIL ADDRESS: STREET 1: 200 BROADHOLLOW RD. STREET 2: SUITE 207 CITY: MELVILLE STATE: NY ZIP: 11747 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_167036361062460.xml FORM 4 X0306 4 2022-12-05 0 0001040896 Intellicheck, Inc. IDN 0001854399 Gafke Garrett 200 BROADHOLLOW ROAD, SUITE 207 MELVILLE NY 11747 0 1 0 0 President Common Stock, $.001 par value 2022-12-05 4 P 0 1274 2.08 A 100967 D Common Stock, $.001 par value 2022-12-05 4 P 0 342 2.05 A 101309 D Common Stock, $.001 par value 2022-12-05 4 P 0 220 2.06 A 101529 D Common Stock, $.001 par value 2022-12-05 4 P 0 780 2.09 A 102309 D Common Stock, $.001 par value 2022-12-06 4 P 0 1796 2.05 A 104105 D /s/ Garrett Gafke 2022-12-06