INTELLINETICS, INC. — Director's Dealing 2016

Mar 21, 2016

SEC Form 4 — Statement of Changes in Beneficial Ownership

Issuer: INTELLINETICS, INC. (INLX)
CIK: 0001081745
Period of Report: 2015-12-29

Reporting Person: TAGLICH ROBERT (10% Owner)

Non-Derivative Transactions

Date	Security	Code	Shares	Price	A/D	Holdings After	Ownership
2015-12-31	COMMON STOCK	C	2340230	$1019985	Acquired	2570451	Direct

Derivative Transactions

Date	Security	Exercise Price	Code	Shares	A/D	Expiration	Underlying	Ownership
2015-12-31	Convertible Note	$	C		Disposed		Common stock (2340230)	Direct
2015-12-31	Warrant	$0.65	C	849987	Acquired	2021-12-30	Common stock (849987)	Direct
2016-01-27	Warrant	$0.715	J	170275	Acquired	2020-12-28	Common stock (170275)	Direct

Footnotes

F1: Convertible notes were converted into equity and warrants as part of a note exchange offering. Each outstanding convertible note was converted into common stock at its conversion price, and each noteholder exercising notes also received warrants to purchase common stock in an amount equal to 50% of the total principal and interested converted, divided by 0.6.

F2: N/A

F3: Transaction Code J - 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 equity conducted by the Company in December 2015 and January 2016.