0001732564-23-000012.txt : 20230830
0001732564-23-000012.hdr.sgml : 20230830
20230830183039
ACCESSION NUMBER: 0001732564-23-000012
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230630
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: 231226395
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_169343462639456.xml
FORM 4
X0508
4
2023-06-30
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
2023-06-30
4
A
0
3392
0
A
327326
D
Common Stock, $.001 par value
2023-06-30
4
A
0
3445
0
A
330771
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
/s/ Bryan Lewis
2023-08-30