SEC Form 4 · accession 0001144204-15-026053

INTELLINETICS, INC. · INLX

Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗

Reporting owner

10% Owner

Period of report

Oct 9, 2014

Accepted (ET)

Apr 29, 2015 · 5:10 pm EDT

Rule 10b5-1 plan

unknown — predates the checkbox

Issuer CIK

0001081745

Table I — non-derivative securities

No Table I lines on this filing.

Security	Conv. / exercise price	Date	Code	Shares	A/D	Exercisable	Expires	Underlying	Underlying shares	Owned after	D/I
Convertible Note^F1	$0.30	Oct 9, 2014	P	—	A	Oct 9, 2014	—	Common stock	266,667	1,000,656	D
Convertible Note^F1	$0.30	Dec 17, 2014	P	—	A	Dec 17, 2014	—	Common stock	333,333	1,333,989	D
Convertible Note^F1	$0.30	Feb 10, 2015	P	—	A	Feb 10, 2015	—	Common stock	166,667	1,500,656	D
Convertible Note^F1	$0.30	Mar 11, 2015	P	—	A	Mar 11, 2015	—	Common stock	166,667	1,667,323	D