0001930405-23-000004.txt : 20230331
0001930405-23-000004.hdr.sgml : 20230331
20230331164858
ACCESSION NUMBER: 0001930405-23-000004
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230329
FILED AS OF DATE: 20230331
DATE AS OF CHANGE: 20230331
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Ishmael Jeffrey
CENTRAL INDEX KEY: 0001930405
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-15465
FILM NUMBER: 23788721
MAIL ADDRESS:
STREET 1: 200 BROADHOLLOW RD. STE 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_168029572561368.xml
FORM 4
X0407
4
2023-03-29
0
0001040896
Intellicheck, Inc.
IDN
0001930405
Ishmael Jeffrey
200 BROADHOLLOW ROAD,
SUITE 207
MELVILLE
NY
11747
0
1
0
0
CFO
0
Restricted Stock Units (RSU's)
0.0
2023-03-29
4
A
0
91228
0
A
2023-03-31
Common Stock, $.001 par value
91228.0
91228
D
Stock Option (Right to Buy)
1.71
2023-03-29
4
J
0
91228
1.71
D
2023-03-31
2027-05-12
Common Stock
91228.0
0
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.
Pursuant to an agreement between the reporting person and the Company dated March 29, 2023, this Stock Option was surrendered and re-issued as a Restricted Stock Unit (RSU).
/s/ Jeffrey Ishmael
2023-03-31