INTELLINETICS, INC. — Director's Dealing 2016

Jan 19, 2016

SEC Form 4 — Statement of Changes in Beneficial Ownership

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

Reporting Person: GROSS MURRAY H (Director)

Non-Derivative Transactions

Date	Security	Code	Shares	Price	A/D	Holdings After	Ownership
2015-12-31	COMMON STOCK	C	113993	$0.56	Acquired	296432	Direct
2016-01-02	COMMON STOCK	A	36111	$0.90	Acquired	332543	Direct

Derivative Transactions

Date	Security	Exercise Price	Code	Shares	A/D	Expiration	Underlying	Ownership
2015-12-31	Convertible Note	$0.56	C	68803	Disposed		Common stock (113933)	Direct
2015-12-31	Warrant	$0.65	C	53169	Acquired	2020-12-30	Common stock (53169)	Direct

Footnotes

F1: Grant of stock under the 2015 Intellinetics, Inc. Equity Incentive Plan for director services rendered.

F2: Convertible Note was converted into both common stock and warrants pursuant to a private offering conducted by the Company. Notes were converted to common stock attheir stated conversion price, and warrants were granted in an amount equal to 50% of the total principal and interest converted, multiplied by 0.6.

F3: N/A.