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