# EDGAR Filing Document

**Accession Number:** 0001040896
**File Stem:** 0001628280-25-030816
**Filing Date:** 2025-6
**Character Count:** 8080
**Document Hash:** a1a451a35844d3ef70d473c0fa5c1310
**Contains OCR:** False
**Source Format:** 

## Filing Content

## Filing Summary
**0001628280-25-030816.hdr.sgml**: 20250611

**ACCESSION NUMBER**: 0001628280-25-030816

**CONFORMED SUBMISSION TYPE**: 4

**PUBLIC DOCUMENT COUNT**: 1

**CONFORMED PERIOD OF REPORT**: 20250610

**FILED AS OF DATE**: 20250611

**DATE AS OF CHANGE**: 20250611

**REPORTING-OWNER**: 

**OWNER DATA:**
- **COMPANY CONFORMED NAME:** Lewis Bryan
- **CENTRAL INDEX KEY:** 0001732564

**ORGANIZATION NAME:**

**FILING VALUES:**
- **FORM TYPE:** 4
- **SEC ACT:** 1934 Act
- **SEC FILE NUMBER:** 001-15465
- **FILM NUMBER:** 251041072

**MAIL ADDRESS:**
- **STREET 1:** 100 JERICHO QUADRANGLE
- **STREET 2:** SUITE 202
- **CITY:** JERICHO
- **STATE:** NY
- **ZIP:** 11753
**ISSUER**: 

**COMPANY DATA:**
- **COMPANY CONFORMED NAME:** Intellicheck, Inc.
- **CENTRAL INDEX KEY:** 0001040896
- **STANDARD INDUSTRIAL CLASSIFICATION:** SERVICES-PREPACKAGED SOFTWARE [7372]
- **ORGANIZATION NAME:** 06 Technology
- **EIN:** 113234779
- **STATE OF INCORPORATION:** DE
- **FISCAL YEAR END:** 1231

**BUSINESS ADDRESS:**
- **STREET 1:** 200 BROADHOLLOW ROAD
- **STREET 2:** SUITE 207
- **CITY:** MELVILLE
- **STATE:** NY
- **ZIP:** 11747
- **BUSINESS PHONE:** 516-992-1900

**MAIL ADDRESS:**
- **STREET 1:** 200 BROADHOLLOW ROAD
- **STREET 2:** SUITE 207
- **CITY:** MELVILLE
- **STATE:** NY
- **ZIP:** 11747

**FORMER COMPANY:**
- **FORMER CONFORMED NAME:** Intellicheck Mobilisa, Inc.
- **DATE OF NAME CHANGE:** 20100527

**FORMER COMPANY:**
- **FORMER CONFORMED NAME:** Intelli Check Mobilisa, Inc
- **DATE OF NAME CHANGE:** 20080319

**FORMER COMPANY:**
- **FORMER CONFORMED NAME:** INTELLI CHECK INC
- **DATE OF NAME CHANGE:** 19990917

### UNITED STATES SECURITIES AND EXCHANGE COMMISSION
**Washington, D.C. 20549**

## FORM 4

### STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

[ ] Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).

[ ] Check this box to indicate that a transaction was made pursuant to a contract, instruction or written plan for the purchase or sale of equity securities of the issuer that is intended to satisfy the affirmative defense conditions of Rule 10b5-1(c). See Instruction 10.

---

| | | |
|:---|:---|:---|
| **1. Name and Address of Reporting Person**<sup>*</sup><br>Lewis Bryan<br><sub>(Last) (First) (Middle)</sub><br>200 BROADHOLLOW ROAD<br>SUITE 207<br><sub>(Street)</sub><br>MELVILLE, NY 11747<br><sub>(City) (State) (Zip)</sub> | **3. Date of Earliest Transaction (Month/Day/Year)**<br>2025-06-10 | **5. Relationship of Reporting Person(s) to Issuer**<br>(Check all applicable)<br>[X] Director [ ] 10% Owner<br>[X] Officer (give title below) [ ] Other (specify below)<br>_CEO/President_ |
| **2. Issuer Name and Ticker or Trading Symbol**<br>Intellicheck, Inc. [ IDN ] | **4. If Amendment, Date of Original Filed (Month/Day/Year)**<br>  | **6. Individual or Joint/Group Filing (Check Applicable Line)**<br>[X] Form filed by One Reporting Person<br>[ ] Form filed by More than One Reporting Person |

---

## Table I - Non-Derivative Securities

---

|  |  |  |  |  |  |  |  |  |  |  |
| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |
| 1. Title of Security | 2. Transaction Date | 2A. Deemed Execution Date | 3. Transaction Code (V) | 3. Transaction Code (V) | 4. Securities Acquired (A) or Disposed of (D) | 4. Securities Acquired (A) or Disposed of (D) | 4. Securities Acquired (A) or Disposed of (D) | 5. Amount of Securities Beneficially Owned | 6. Ownership Form | 7. Nature of Indirect Beneficial Ownership |
| 1. Title of Security | 2. Transaction Date | 2A. Deemed Execution Date | Code | V | Amount | (A) or (D) | Price | 5. Amount of Securities Beneficially Owned | 6. Ownership Form | 7. Nature of Indirect Beneficial Ownership |
| Common Stock, $.001 par value | 2025-06-10 |  | M |  | 20809 | A | $2.02 | 373411 | D |  |
| Common Stock, $.001 par value | 2025-06-10 |  | M |  | 15607 | A | $2.53 | 389018 | D |  |
| Common Stock, $.001 par value | 2025-06-10 |  | M |  | 9378 | A | $3.03 | 398396 | D |  |
| Common Stock, $.001 par value | 2025-06-10 |  | M |  | 49875 | A | $2.70 | 448271 | D |  |
| Common Stock, $.001 par value | 2025-06-10 |  | F<sup>(1)</sup> |  | 41145 | D | 5.9729<sup>(2)</sup> | 407126 | D |  |

---

## Table II - Derivative Securities

---

|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |
| 1. Title of Derivative Security | 2. Conversion or Exercise Price | 3. Transaction Date | 3A. Deemed Execution Date | 4. Transaction Code (V) | 4. Transaction Code (V) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) | 6. Date Exercisable and Expiration Date | 6. Date Exercisable and Expiration Date | 7. Title and Amount of Underlying Securities | 7. Title and Amount of Underlying Securities | 8. Price of Derivative Security | 9. Number of Derivative Securities Beneficially Owned | 10. Ownership Form | 11. Nature of Indirect Beneficial Ownership |
| 1. Title of Derivative Security | 2. Conversion or Exercise Price | 3. Transaction Date | 3A. Deemed Execution Date | Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | 8. Price of Derivative Security | 9. Number of Derivative Securities Beneficially Owned | 10. Ownership Form | 11. Nature of Indirect Beneficial Ownership |
| Stock Option (Right to Buy) | 2.02<sup>(3)</sup> | 2025-06-10 |  | M |  |  | 20809 | 2023-06-30<sup>(4)</sup> | 2029-06-30 | Common Stock, $.001 par value | 20809 | $0 | 24591 | D |  |
| Stock Option (Right to Buy) | 2.53<sup>(3)</sup> | 2025-06-10 |  | M |  |  | 15607 | 2023-06-30<sup>(4)</sup> | 2029-06-30 | Common Stock, $.001 par value | 15607 | $0 | 18443 | D |  |
| Stock Option (Right to Buy) | 3.03<sup>(3)</sup> | 2025-06-10 |  | M |  |  | 9378 | 2023-06-30<sup>(4)</sup> | 2029-06-30 | Common Stock, $.001 par value | 9378 | $0 | 24672 | D |  |
| Stock Option (Right to Buy) | 2.70<sup>(5)</sup> | 2025-06-10 |  | M |  |  | 49875 | 2024-03-03<sup>(4)</sup> | 2030-03-03 | Common Stock, $.001 par value | 49875 | $0 | 16625 | D |  |

---

### Footnotes:

(1) Payment of exercise price or tax liability by delivering or withholding securities incident to the exercise of Stock Options issued in accordance with Rule 16b-3.

(2) Reflects a weighted average price per share of $5.97 (rounded to two decimal places) for transactions between $5.82 and $6.175 per share.

(3) Of the stock options granted, 40% (45,400) of the options have no premium (i.e., exercise price equals stock price at grant); 30% (34,050) of the options would have a 25% premium (i.e., exercise price equals stock price at grant plus 25%); and 30% (34,050) of the options would have a 50% premium.

(4) One-third of this Option shall vest upon the first anniversary of the date of grant and the remaining two-thirds of this Option shall vest quarterly over the following two years

(5) Of these options, 50% (66,500) have no premium (i.e. exercise price equals stock price at grant); 25% (33,250) of the options have a 20% premium (i.e. exercise price equals stock price at grant plus 20%); and 25% (33,250) of the options have a 40% premium (i.e. exercise price equals stock price at grant plus 40%).

**Signature:** /s/ Bryan Lewis  
**Date:** 2025-06-11

### Remarks:

Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.

* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).

** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).

Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.

**Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.**