0001854399-23-000004.txt : 20230308 0001854399-23-000004.hdr.sgml : 20230308 20230308145941 ACCESSION NUMBER: 0001854399-23-000004 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230303 FILED AS OF DATE: 20230308 DATE AS OF CHANGE: 20230308 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Gafke Garrett CENTRAL INDEX KEY: 0001854399 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-15465 FILM NUMBER: 23715838 MAIL ADDRESS: STREET 1: 200 BROADHOLLOW RD. STREET 2: SUITE 207 CITY: MELVILLE STATE: NY ZIP: 11747 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_167830557107705.xml FORM 4 X0306 4 2023-03-03 0 0001040896 Intellicheck, Inc. IDN 0001854399 Gafke Garrett 200 BROADHOLLOW ROAD, SUITE 207 MELVILLE NY 11747 0 1 0 0 President Stock Option (Right to Buy) 2.7 2023-03-03 4 A 0 77750 2.70 A 2024-03-03 2028-03-03 Common Stock 77750.0 77750 D Of these options, 50% (38,875) have no premium (i.e. exercise price equals stock price at grant); 25% (19,438) of the options have a 20% premium (i.e. exercise price equals stock price at grant plus 20%); and 25% (19,438) of the options have a 40% premium (i.e. exercise price equals stock price at grant plus 40%). 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/ Garrett Gafke 2023-03-08