SEC Form 4 · accession 0001493152-17-014985
Intellicheck, Inc. · IDN
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Russell T Embry
Officer — Chief Technology Officer
Period of report
Dec 22, 2017
Accepted (ET)
Dec 22, 2017 · 2:50 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001040896
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock, $.001 par valueF1 | Dec 22, 2017 | M | 2,599 | — | A | 2,599 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Restricted Stock UnitF3,F1,F2 | — | Dec 22, 2017 | M | 2,599 | A | — | — | Common Stock | 2,599 | 0 | D |
Explanation of responses
- F1Restricted Stock Units convert into common stock on a one-for-one basis.
- F2On May 19, 2016, the reporting person was granted 4,363 restricted stock units, which vested January 2, 2017.
- F3Of the 4,363 restricted stock units granted, the reporting person surrendered 1,764 shares for income tax withholding purposes.