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INTELLINETICS, INC. Director's Dealing 2017

Jan 4, 2017

34559_dirs_2017-01-04_5a3715ef-fe33-4da9-8964-ccd39902e184.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: 2016-12-30

Reporting Person: TAGLICH MICHAEL N (10% Owner)

Derivative Transactions

Date Security Exercise Price Code Shares A/D Expiration Underlying Ownership
2016-12-30 Convertible Note $ J Disposed Common stock () Direct
2016-12-30 Convertible Note $0.65 J Acquired Common stock (153846) Direct
2016-12-30 Convertible Note $0.65 P Acquired Common stock (230769) Direct

Footnotes

F1: Convertible Note is convertible into any equity securities next issued by the Company to investors on the same terms as sold to other investors.

F2: N/A