0001493152-22-014255.txt : 20220517
0001493152-22-014255.hdr.sgml : 20220517
20220517210056
ACCESSION NUMBER: 0001493152-22-014255
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220513
FILED AS OF DATE: 20220517
DATE AS OF CHANGE: 20220517
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Cooke William
CENTRAL INDEX KEY: 0001646570
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-31671
FILM NUMBER: 22936783
MAIL ADDRESS:
STREET 1: 800 STANDARD PARKWAY
CITY: AUBURN HILLS
STATE: MI
ZIP: 48326
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
2022-05-13
0
0001081745
INTELLINETICS, INC.
INLX
0001646570
Cooke William
37 MAIN STREET
COLD SPRING HARBOR
NY
11724
1
0
0
0
WARRANTS
4.62
2022-05-13
4
J
0
26094
A
2022-05-13
2027-03-30
COMMON STOCK
26094
34694
D
Placement Agent Warrants were issued at a rate of 10% of the shares sold by Taglich Brothers, Inc. on behalf of the company, as part of a private placement of common stock conducted by the company in April 2022.
/s/ William M. Cooke
2022-05-17