0001732564-23-000010.txt : 20230830
0001732564-23-000010.hdr.sgml : 20230830
20230830182823
ACCESSION NUMBER: 0001732564-23-000010
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230331
FILED AS OF DATE: 20230830
DATE AS OF CHANGE: 20230830
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Lewis Bryan
CENTRAL INDEX KEY: 0001732564
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-15465
FILM NUMBER: 231226393
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]
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
wf-form4_169343449075219.xml
FORM 4
X0508
4
2023-03-31
0
0001040896
Intellicheck, Inc.
IDN
0001732564
Lewis Bryan
200 BROADHOLLOW ROAD,
SUITE 207
MELVILLE
NY
11747
1
1
0
0
CEO/President
0
Common Stock, $.001 par value
2023-03-31
4
A
0
3392
0
A
276447
D
Common Stock, $.001 par value
2023-03-31
4
A
0
3444
0
A
279891
D
Common Stock, $.001 par value
2023-03-31
4
A
0
44043
0
A
323934
D
(1) Quarterly vesting of 40,696 Restricted Stock Units granted March 10, 2021
(2) Quarterly vesting of 62,000 Restricted Stock Units granted March 10, 2021
Vesting of 44,043 Restricted Stock Units granted pursuant to an agreement dated August 7, 2020.
/s/ Bryan Lewis
2023-08-30