0001628280-24-011909.txt : 20240319 0001628280-24-011909.hdr.sgml : 20240319 20240319160304 ACCESSION NUMBER: 0001628280-24-011909 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240315 FILED AS OF DATE: 20240319 DATE AS OF CHANGE: 20240319 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Lewis Bryan CENTRAL INDEX KEY: 0001732564 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-15465 FILM NUMBER: 24762986 MAIL ADDRESS: STREET 1: 100 JERICHO QUADRANGLE STREET 2: SUITE 202 CITY: JERICHO STATE: NY ZIP: 11753 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Intellicheck, Inc. CENTRAL INDEX KEY: 0001040896 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372] ORGANIZATION NAME: 06 Technology IRS NUMBER: 113234779 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 200 BROADHOLLOW ROAD STREET 2: SUITE 207 CITY: MELVILLE STATE: NY ZIP: 11747 BUSINESS PHONE: 516-992-1900 MAIL ADDRESS: STREET 1: 200 BROADHOLLOW ROAD STREET 2: SUITE 207 CITY: MELVILLE STATE: NY ZIP: 11747 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 wk-form4_1710878572.xml FORM 4 X0508 4 2024-03-15 0 0001040896 Intellicheck, Inc. IDN 0001732564 Lewis Bryan 200 BROADHOLLOW ROAD, SUITE 207 MELVILLE NY 11747 1 1 0 0 CEO/President 0 Stock Option (Right to Buy) 1.81 2024-03-15 4 A 0 66500 1.81 A 2025-03-15 2031-03-15 Common Stock, $.001 par value 66500 66500 D Stock Option (Right to Buy) 1.99 2024-03-15 4 A 0 33250 1.99 A 2025-03-15 2031-03-15 Common Stock, $.001 par value 33250 33250 D Stock Option (Right to Buy) 2.17 2024-03-15 4 A 0 33250 2.17 A 2025-03-15 2031-03-15 Common Stock, $.001 par value 33250 33250 D Of these options, 50% (66,500) have no premium (i.e. exercise price equals stock price at grant); 25% (33,250) of the options have a 10% premium (i.e. exercise price equals stock price at grant plus 10%); and 25% (33,250) of the options have a 20% premium (i.e. exercise price equals stock price at grant plus 20%). One-third of this Option shall vest upon the first anniversary of the date of grant and the remaining two-thirds of this Option shall vest quarterly over the following two years /s/ Bryan Lewis 2024-03-19