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