0001144204-12-028267.txt : 20120514 0001144204-12-028267.hdr.sgml : 20120514 20120514085502 ACCESSION NUMBER: 0001144204-12-028267 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120511 FILED AS OF DATE: 20120514 DATE AS OF CHANGE: 20120514 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: White Billy Joe CENTRAL INDEX KEY: 0001546805 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-50296 FILM NUMBER: 12836623 MAIL ADDRESS: STREET 1: 191 OTTO ST. CITY: PORT TOWNSEND STATE: WA ZIP: 98368 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Intellicheck Mobilisa, Inc. CENTRAL INDEX KEY: 0001040896 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372] IRS NUMBER: 113234779 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 191 OTTO STREET CITY: PORT TOWNSEND STATE: WA ZIP: 98368 BUSINESS PHONE: 516-992-1900 MAIL ADDRESS: STREET 1: 191 OTTO STREET CITY: PORT TOWNSEND STATE: WA ZIP: 98368 FORMER COMPANY: FORMER CONFORMED NAME: Intelli Check Mobilisa, Inc DATE OF NAME CHANGE: 20080319 FORMER COMPANY: FORMER CONFORMED NAME: INTELLI CHECK INC DATE OF NAME CHANGE: 19990917 4 1 v313037_form4.xml FORM 4 X0305 4 2012-05-11 0 0001040896 Intellicheck Mobilisa, Inc. IDN 0001546805 White Billy Joe 191 OTTO STREET PORT TOWNSEND WA 98368 0 1 0 0 CFO, Secretary and Treasurer Common Stock, par value $.001 2012-05-11 4 P 0 200 1.72 A 200 D Common Stock, par value $.001 2012-05-11 4 P 0 500 1.73 A 700 D Common Stock, par value $.001 2012-05-11 4 P 0 900 1.74 A 1600 D Common Stock, par value $.001 2012-05-11 4 P 0 4200 1.7268 A 5800 D /s/ Billy Joe White 2012-05-11