SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person*
Gilbert Stanley

(Last) (First) (Middle)
275 SHORELINE DRIVE
SUITE 500

(Street)
REDWOOD CITY CA 94065

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
10/21/2011
3. Issuer Name and Ticker or Trading Symbol
COMMUNICATION INTELLIGENCE CORP [ CICI.OB ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
Officer (give title below) Other (specify below)
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock 3,734,749 D
Common Stock 28,485 I Held by Corporation(1)
Common Stock 1,783,035 I Held by Galaxy LLC(2)
Common Stock 2,147,117 I By spouse(3)
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Series B Convertable Preferred Stock (3) (3) Common Stock 2,505,380 $0.0433 D
Series C Convertible Preferred Stock (3) (3) Common Stock 14,239,109 $0.0225 D
Warrant, Right to buy 05/04/2010 05/04/2013 Common Stock 104,167 $0.06 D
Warrant, Right to buy 05/19/2010 05/19/2013 Common Stock 104,167 $0.06 D
Warrant, Right to buy 06/03/2010 06/03/2013 Common Stock 104,167 $0.06 D
Warrant, Right to buy 06/30/2010 06/30/2013 Common Stock 357,043 $0.06 D
Warrant, Right to buy 12/31/2010 12/31/2013 Common Stock 8,888,889 $0.0225 D
Warrant, Right to buy 03/31/2011 03/31/2014 Common Stock 4,444,444 $0.0225 D
Explanation of Responses:
1. The shares of Common Stock are held by Stanly L. Gilbert, PC of which Stanley Gilbert is the sole shareholder.
2. The shares of Common Stock are held by Galaxy, LLC of which Stanley Gilbert is a managing partner.
3. The Shares of Series B and Series C Convertible Preferred Stock are immediately convertible into shares of Common Stock, and have no expiration date.
Remarks:
Stanly Gilbert 11/03/2011
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
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