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INTELLINETICS, INC. Director's Dealing 2016

Mar 21, 2016

34559_dirs_2016-03-21_a50b688e-0676-45e6-9bfb-bb782e7833e2.zip

Director's Dealing

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SEC Form 4 — Statement of Changes in Beneficial Ownership

Issuer: INTELLINETICS, INC. (INLX)
CIK: 0001081745
Period of Report: 2015-12-31

Reporting Person: Chretien Matthew L (Director, Chief Executive Officer)

Non-Derivative Transactions

Date Security Code Shares Price A/D Holdings After Ownership
2015-12-31 Common Stock C 22705 $12715 Acquired 919033 Direct
2016-01-02 Common Stock A 8333 Acquired 927366 Direct

Derivative Transactions

Date Security Exercise Price Code Shares A/D Expiration Underlying Ownership
2015-12-31 Convertible Note $ C Disposed Common stock (22705) Direct
2015-12-31 Warrant $0.65 C 10595 Acquired 2020-12-30 Common stock (10595) Direct
2016-01-01 Option $0.90 A 100000 Acquired 2025-12-31 Common stock (100000) Direct

Footnotes

F1: Granted in exchange for director or officer services to the Company, in accordance with the 2015 Intellinetics Inc. Equity Incentive Plan.

F2: 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.

F3: N/A

F4: 25% of the options vest annually, beginning on January 1, 2016.