0001144204-17-000686.txt : 20170104
0001144204-17-000686.hdr.sgml : 20170104
20170104213021
ACCESSION NUMBER: 0001144204-17-000686
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20161230
FILED AS OF DATE: 20170104
DATE AS OF CHANGE: 20170104
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: INTELLINETICS, INC.
CENTRAL INDEX KEY: 0001081745
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372]
IRS NUMBER: 870613716
STATE OF INCORPORATION: NV
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 2190 DIVIDEND DRIVE
CITY: COLUMBUS
STATE: OH
ZIP: 43228
BUSINESS PHONE: 6143888909
MAIL ADDRESS:
STREET 1: 2190 DIVIDEND DRIVE
CITY: COLUMBUS
STATE: OH
ZIP: 43228
FORMER COMPANY:
FORMER CONFORMED NAME: GLOBALWISE INVESTMENTS INC
DATE OF NAME CHANGE: 20000928
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: SCHROEDER ROBERT C
CENTRAL INDEX KEY: 0001268331
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-31671
FILM NUMBER: 17508543
MAIL ADDRESS:
STREET 1: TAGLICH BROTHERS, INC.
STREET 2: 405 LEXINGTON AVE, 51ST FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10174
4
1
v456273_form4.xml
FORM 4
X0306
4
2016-12-30
0
0001081745
INTELLINETICS, INC.
INLX
0001268331
SCHROEDER ROBERT C
2190 DIVIDEND DR.
COLUMBUS
OH
43228
1
0
0
0
Convertible Note
2016-12-30
4
J
0
25000
25000
D
2016-11-30
Common stock
279020
D
Convertible Note
0.65
2016-12-30
4
J
0
25000
25000
A
2016-12-30
Common stock
38461
317481
D
Convertible Note is convertible into any equity securities next issued by the Company to investors on the same terms as sold to other investors.
N/A
Transaction Code J: The filer exchanged with the issuer an existing convertible note for a different convertible note with different terms.
/s/ Robert C. Schroeder
2017-01-04