0001144204-16-077383.txt : 20160127
0001144204-16-077383.hdr.sgml : 20160127
20160127213019
ACCESSION NUMBER: 0001144204-16-077383
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160125
FILED AS OF DATE: 20160127
DATE AS OF CHANGE: 20160127
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
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: GROSS MURRAY H
CENTRAL INDEX KEY: 0001028639
STANDARD INDUSTRIAL CLASSIFICATION: CONSTRUCTION SPECIAL TRADE CONTRACTORS [1700]
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-31671
FILM NUMBER: 161366451
MAIL ADDRESS:
STREET 1: 2951 KINWEST PARKWAY
CITY: IRVING
STATE: TX
ZIP: 75063
4
1
v429919_4.xml
OWNERSHIP DOCUMENT
X0306
4
2016-01-25
0
0001081745
INTELLINETICS, INC.
INLX
0001028639
GROSS MURRAY H
4490 LIVE OAK BLVD.
DELRAY BEACH
FL
33445
1
0
0
0
COMMON STOCK
2016-01-25
4
P
0
20000
A
352543
D
Warrant
0.65
2016-01-25
4
P
0
10000
A
2016-01-25
2021-01-24
Common Stock
10000
703169
D
Units consisting of 2 shares and 1 warrant were purchased for $1.20 each.
/s/ Murray H. Gross
2016-01-27