0001493152-19-000399.txt : 20190109 0001493152-19-000399.hdr.sgml : 20190109 20190109203625 ACCESSION NUMBER: 0001493152-19-000399 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190107 FILED AS OF DATE: 20190109 DATE AS OF CHANGE: 20190109 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Pibouin Sophie CENTRAL INDEX KEY: 0001641813 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-31671 FILM NUMBER: 19519121 MAIL ADDRESS: STREET 1: 4 SAINT JODE COURT CITY: NORTHPORT STATE: NY ZIP: 11768 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: INTELLINETICS, INC. CENTRAL INDEX KEY: 0001081745 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372] IRS NUMBER: 870613716 STATE OF INCORPORATION: NV FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 2190 DIVIDEND DRIVE CITY: COLUMBUS STATE: OH ZIP: 43228 BUSINESS PHONE: 6143888909 MAIL ADDRESS: STREET 1: 2190 DIVIDEND DRIVE CITY: COLUMBUS STATE: OH ZIP: 43228 FORMER COMPANY: FORMER CONFORMED NAME: GLOBALWISE INVESTMENTS INC DATE OF NAME CHANGE: 20000928 4 1 ownership.xml X0306 4 2019-01-07 0 0001081745 INTELLINETICS, INC. INLX 0001641813 Pibouin Sophie 4 SAINT JODE COURT NORTHPORT NY 11768 1 0 0 0 COMMON STOCK 2019-01-07 4 A 0 90910 A 163148 D Granted in exchange for director services to the Company, in accordance with the Company's director compensation policy. /s/ Sophie Pibouin 2019-01-09