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