0001493152-20-017317.txt : 20200904
0001493152-20-017317.hdr.sgml : 20200904
20200904170031
ACCESSION NUMBER: 0001493152-20-017317
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20200902
FILED AS OF DATE: 20200904
DATE AS OF CHANGE: 20200904
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Chretien Matthew L
CENTRAL INDEX KEY: 0001542560
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-31671
FILM NUMBER: 201162388
MAIL ADDRESS:
STREET 1: 2190 DIVIDEND DRIVE
CITY: COLUMBUS
STATE: OH
ZIP: 43228
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
2020-09-02
0
0001081745
INTELLINETICS, INC.
INLX
0001542560
Chretien Matthew L
2190 DIVIDEND DR
COLUMBUS
OH
43228
1
1
0
0
CHIEF STRATEGY OFFICER
INCENTIVE STOCK OPTION
4.00
2020-09-02
4
A
0
20000
A
2030-09-01
COMMON STOCK
20000
22211
D
Options vest annually over a 4-year period, ending September 2, 2024. In addition, 50% of the Options (12,500 Options) are also subject to performance-based vesting, which
will be determined on March 31, 2021.
Options were issued under the 2015 Intellinetics Inc. Equity Incentive Plan in exchange for Chretien's services as an officer of the Company.
/s/ Matthew L. Chretien
2020-09-04