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INTELLINETICS, INC. Director's Dealing 2017

Dec 1, 2017

34559_dirs_2017-12-01_b62f9314-7420-4f01-b5e6-280b254133ca.zip

Director's Dealing

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SEC Form 4 — Statement of Changes in Beneficial Ownership

Issuer: INTELLINETICS, INC. (INXL)
CIK: 0001081745
Period of Report: 2017-11-29

Reporting Person: TAGLICH MICHAEL N (10% Owner)

Derivative Transactions

Date Security Exercise Price Code Shares A/D Expiration Underlying Ownership
2017-11-29 Convertible Note $0.30 C Disposed Common stock (257733) Direct
2017-11-29 Convertible Note $0.20 C Acquired Common stock (375000) Direct

Footnotes

F1: N/A

F2: $75,000 in convertible notes, exercisable at $0.20 per share, were purchased by the surrender and cancellation of $77,320 in convertible notes, exercisable at $0.30 per share, as set forth above. Outstanding interest on the previously-issued convertible notes was paid in full in cash.