0001493152-22-014255.txt : 20220517 0001493152-22-014255.hdr.sgml : 20220517 20220517210056 ACCESSION NUMBER: 0001493152-22-014255 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220513 FILED AS OF DATE: 20220517 DATE AS OF CHANGE: 20220517 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Cooke William CENTRAL INDEX KEY: 0001646570 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-31671 FILM NUMBER: 22936783 MAIL ADDRESS: STREET 1: 800 STANDARD PARKWAY CITY: AUBURN HILLS STATE: MI ZIP: 48326 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 4 1 ownership.xml X0306 4 2022-05-13 0 0001081745 INTELLINETICS, INC. INLX 0001646570 Cooke William 37 MAIN STREET COLD SPRING HARBOR NY 11724 1 0 0 0 WARRANTS 4.62 2022-05-13 4 J 0 26094 A 2022-05-13 2027-03-30 COMMON STOCK 26094 34694 D Placement Agent Warrants were issued at a rate of 10% of the shares sold by Taglich Brothers, Inc. on behalf of the company, as part of a private placement of common stock conducted by the company in April 2022. /s/ William M. Cooke 2022-05-17