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