0001493152-19-003041.txt : 20190308 0001493152-19-003041.hdr.sgml : 20190308 20190308165326 ACCESSION NUMBER: 0001493152-19-003041 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190306 FILED AS OF DATE: 20190308 DATE AS OF CHANGE: 20190308 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: 19669809 MAIL ADDRESS: STREET 1: 191 OTTO ST. CITY: PORT TOWNSEND STATE: WA ZIP: 98368 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Intellicheck, 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: 100 JERICHO QUADRANGLE, STREET 2: SUITE 202 CITY: JERICHO STATE: NY ZIP: 11753 BUSINESS PHONE: 516-992-1900 MAIL ADDRESS: STREET 1: 100 JERICHO QUADRANGLE, STREET 2: SUITE 202 CITY: JERICHO STATE: NY ZIP: 11753 FORMER COMPANY: FORMER CONFORMED NAME: Intellicheck Mobilisa, Inc. DATE OF NAME CHANGE: 20100527 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 ownership.xml X0306 4 2019-03-06 0 0001040896 Intellicheck, Inc. IDN 0001546805 White Billy Joe 535 BROAD HOLLOW ROAD, SUITE B51 MELVILLE, NY 11747 0 1 0 0 CFO, Secretary & Treasurer Stock Option (Right to Buy) 2.68 2019-03-06 4 A 0 30000 0 A 2024-03-06 Common Stock 30000 30000 D The option shall become exercisable with respect to 33.33% of the shares as of the first, second and third anniversaries of the date of grant. /s/ Bill White 2019-03-08