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