0001493152-18-013899.txt : 20180928
0001493152-18-013899.hdr.sgml : 20180928
20180928171401
ACCESSION NUMBER: 0001493152-18-013899
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20180111
FILED AS OF DATE: 20180928
DATE AS OF CHANGE: 20180928
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: TAGLICH MICHAEL N
CENTRAL INDEX KEY: 0001024533
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-31671
FILM NUMBER: 181094924
MAIL ADDRESS:
STREET 1: TAGLICH BROTHERS INC
STREET 2: 1370 AVENUE OF THE AMERICAS --31ST FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 6317254791
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
2018-01-11
0
0001081745
INTELLINETICS, INC.
INXL
0001024533
TAGLICH MICHAEL N
790 NEW YORK AVE
HUNTINGTON
NY
11743
0
0
1
0
Warrant
0.25
2018-01-11
4
J
0
210000
A
2018-01-11
2022-11-30
Common stock
210000
3177516
D
Convertible Note
0.13
2018-09-26
4
P
0
200000
200000
A
2018-09-26
Common stock
1538461
4715977
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 convertible debt conducted by the Company in November 2017.
N/A
/s/ Michael N. Taglich
2018-09-28