0001493152-22-000876.txt : 20220110
0001493152-22-000876.hdr.sgml : 20220110
20220110182214
ACCESSION NUMBER: 0001493152-22-000876
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220106
FILED AS OF DATE: 20220110
DATE AS OF CHANGE: 20220110
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Kahn Roger E.
CENTRAL INDEX KEY: 0001651542
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-31671
FILM NUMBER: 22522319
MAIL ADDRESS:
STREET 1: C/O BRIDGELINE DIGITAL, INC.
STREET 2: 80 BLANCHARD ROAD
CITY: BURLINGTON
STATE: MA
ZIP: 01803
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
2022-01-06
0
0001081745
INTELLINETICS, INC.
INLX
0001651542
Kahn Roger E.
2190 DIVIDEND DR
COLUMBUS
OH
43228
1
0
0
0
COMMON STOCK
2022-01-06
4
A
0
1056
A
8360
D
Granted in exchange for director services to the Company, in accordance with the Company's director compensation policy.
/s/ Roger E. Kahn
2022-01-10