Filing Details
- Accession Number:
- 0001140361-19-002774
- Form Type:
- 13G Filing
- Publication Date:
- 2019-02-08 16:17:52
- Filed By:
- Ralls Rawleigh Hazen Iv
- Company:
- Intellicheck Inc. (NASDAQ:IDN)
- Filing Date:
- 2019-02-08
- SEC Url:
- 13G Filing
Ownership Summary
Please notice the below summary table is generated without human intervention and may contain errors. Please refer to the complete filing displayed below for exact figures.
| Name | Sole Voting Power | Shared Voting Power | Sole Dispositive Power | Shared Dispositive Power | Aggregate Amount Owned Power | Percent of Class |
|---|---|---|---|---|---|---|
| Rawleigh Hazen Ralls, IV | 699,914 | 974,914 | 699,914 | 974,914 | 974,914 | 6.2% |
Filing
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
SCHEDULE 13G
UNDER THE SECURITIES EXCHANGE ACT OF 1934
(Amendment No. 2)*
| INTELLICHECK, INC. |
| (Name of Issuer) |
| COMMON STOCK, $0.001 PAR VALUE |
| (Title of Class of Securities) |
| 45817G201 |
| (CUSIP Number) |
| DECEMBER 31, 2018 |
| (Date of Event Which Requires Filing of This Statement) |
Check the appropriate box to designate the rule pursuant to which this Schedule is filed:
| ☐ | Rule 13d-1(b) |
| ☒ | Rule 13d-1(c) |
| ☐ | Rule 13d-1(d) |
*The remainder of this cover page shall be filled out for a reporting person’s initial filing on this form with respect to the subject class of
securities, and for any subsequent amendment containing information which would alter the disclosures provided in a prior cover page.
The information required in the remainder of this cover page shall not be deemed to be “filed” for the purpose of Section 18 of the Securities Exchange
Act of 1934 (“Act”) or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes).
| CUSIP No. 45817G201 | Page 2 of 5 Pages |
| 1 | NAME OF REPORTING PERSONS | | | ||
| Rawleigh Hazen Ralls, IV | | | |||
| | | ||||
| 2 | CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (SEE INSTRUCTIONS) | ||||
| (a)☐ | |||||
| (b)☒ | | | |||
| 3 | SEC USE ONLY | | | ||
| | | | |||
| | | ||||
| 4 | CITIZENSHIP OR PLACE OF ORGANIZATION | | | ||
| United States of America | | | |||
| | | ||||
| NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH | 5 | SOLE VOTING POWER | | | |
| 699,914 | | | |||
| | | ||||
| 6 | SHARED VOTING POWER | | | ||
| 974,914 | | | |||
| | | ||||
| 7 | SOLE DISPOSITIVE POWER | | | ||
| 699,914 | | | |||
| | | ||||
| 8 | SHARED DISPOSITIVE POWER | | | ||
| 974,914 | | | |||
| | | ||||
| 9 | AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON | | | ||
| 974,914 | | | |||
| | | ||||
| 10 | CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS) | | | ||
| ☐ | | | |||
| | | ||||
| 11 | PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9) | | | ||
| 6.2% (1) | | | |||
| | | ||||
| 12 | TYPE OF REPORTING PERSON (SEE INSTRUCTIONS) | | | ||
| IN | | | |||
| | | ||||
(1) This percentage is calculated based upon 15,638,765 shares of the Issuer’s common stock outstanding as of November 14,
2018 as reported in the Issuer’s Quarterly Report on Form 10-Q for the period ended September 30, 2018 (Commission File No. 000-50296) filed with the Securities and Exchange Commission on November 14, 2018.
| CUSIP No. 45817G201 | Page 3 of 5 Pages |
| Item 1(a) | Name of Issuer |
Intellicheck, Inc.
| Item 1(b) | Address of Issuer’s Principal Executive Offices |
100 Jericho Quadrangle, Suite 202
Jericho, New York 11753
| Item 2(a) | Name of Person Filing |
Rawleigh Hazen Ralls, IV
| Item 2(b) | Address of Principal Business Office or, if none, Residence |
c/o Lacuna, LLC
1100 Spruce Street, Suite 202
Boulder, Colorado 80302
| Item 2(c) | Citizenship |
United States of America
| Item 2(d) | Title of Class of Securities |
Common Stock, $0.001 par value
| Item 2(e) | CUSIP Number |
45817G201
Item 3
Not applicable.
| Item 4 | Ownership |
| Sole Voting Power | Shared Voting Power | Sole Dispositive Power | Shared Dispositive Power | Beneficial Ownership | Percentage of Class (1) | |||||||||||||||||||
| Rawleigh Hazen Ralls, IV | 699,914 | 974,914 | (2) | 699,914 | 974,914 | (2) | 974,914 | (2) | 6.2 | % | ||||||||||||||
| (1) | This percentage is calculated based upon 15,638,765 shares of the Issuer’s common stock outstanding as of November 14, 2018 as reported in the Issuer’s Quarterly Report
on Form 10-Q for the period ended September 30, 2018 (Commission File No. 000-50296) filed with the Securities and Exchange Commission on November 14, 2018. |
| (2) | Includes 335,000 shares held by the Rawleigh Ralls Individual Retirement Account, 150,000 shares held directly by Kate Ralls, his spouse, and 125,000 shares held by the
Kate Ralls Individual Reitrement Account. |
| Item 5 | Ownership of Five Percent or Less of a Class |
If this statement is being filed to report the fact that as of the date hereof the reporting person has ceased to be the beneficial owner of
more than five percent of the class of securities, check the following. ☐
| Item 6 | Ownership of More than Five Percent of Another Person |
Not applicable.
| Item 7 | Identification and Classification of the Subsidiary which Acquired the Security Being Reported on by the
Parent Holding Company |
Not applicable.
| CUSIP No. 45817G201 | Page 4 of 5 Pages |
| Item 8 | Identification and Classification of Members of the Group |
Not applicable.
| Item 9 | Notice of Dissolution of Group |
Not applicable.
| Item 10 | Certification |
By signing below, I certify that, to the best of my knowledge and belief, the securities referred to above were not acquired and are not held
for the purpose of or with the effect of changing or influencing the control of the issuer of the securities and were not acquired and are not held in connection with or as a participant in any transaction having that purpose or effect, other
than activities solely in connection with a nomination under § 240.14a-11.
SIGNATURE
After reasonable inquiry and to the best of my knowledge and belief, I certify that the
information set forth in this statement is true, complete and correct.
EXECUTED this 8th day of February, 2019.
| /s/ Rawleigh Hazen Ralls, IV | ||
| RAWLEIGH HAZEN RALLS, IV |