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Filing Details

Issuer

Cik	Name	Symbol	Sector (SIC)	IRS No
1081745	Intellinetics Inc.	INLX	()	4

Insiders

Cik	Name	Reported Address	Insider Title	Director	Officer	Large Shareholder	Other
1024533	N Michael Taglich	275 Madison Avenue, #1618 New York NY 10016		No	No	Yes	No

Reported Non-Derivative Transactions

Sec. Name	Acquisiton - Disposition	Date	Amount	Price	Remaning Holdings	Equity Swap Involved	Form Type	Code	Nature of Ownership	Explanation
Common Stock	Acquisiton	2015-12-29	50,000	$0.00	290,936	No	4	P	Indirect	See FN
Common Stock	Acquisiton	2015-12-29	50,000	$0.00	340,936	No	4	P	Indirect	See FN
Common Stock	Acquisiton	2015-12-29	50,000	$0.00	390,936	No	4	P	Indirect	See FN
Common Stock	Acquisiton	2015-12-29	50,000	$0.00	440,936	No	4	P	Indirect	See FN
Common Stock	Acquisiton	2015-12-31	2,340,230	$1,019,985.00	2,781,166	No	4	C	Direct
Common Stock	Acquisiton	2015-01-25	25,198	$0.00	2,806,364	No	4	P	Direct

Equity Swap Involved	Form Type	Code	Nature of Ownership	Explanation
No	4	P	Indirect	See FN
No	4	P	Indirect	See FN
No	4	P	Indirect	See FN
No	4	P	Indirect	See FN
No	4	C	Direct
No	4	P	Direct

Reported Derivative Transactions

Sec. Name	Sec. Type	Acquisiton - Disposition	Date	Amount	Price	Amount - 2	Price - 2
Common Stock	Warrant	Acquisiton	2015-12-29	25,000	$0.00	25,000	$0.65
Common Stock	Warrant	Acquisiton	2015-12-29	25,000	$0.00	25,000	$0.65
Common Stock	Warrant	Acquisiton	2015-12-29	25,000	$0.00	25,000	$0.65
Common Stock	Warrant	Acquisiton	2015-12-29	25,000	$0.00	25,000	$0.65
Common Stock	Convertible Note	Disposition	2015-12-31	1,019,985	$1,019,985.00	2,340,230	$0.00
Common Stock	Warrant	Acquisiton	2015-12-31	849,987	$0.00	849,987	$0.65
Common Stock	Warrant	Acquisiton	2016-01-25	12,599	$0.00	12,599	$0.65
Common Stock	Warrant	Acquisiton	2016-01-27	208,112	$0.00	208,112	$0.72

Remaning Holdings	Exercise Date	Expiration Date	Equity Swap Involved	Transaction Form Type	Transaction Code	Nature of Ownership
2,020,983	2015-12-29	2020-12-28	No	4	P	Indirect
2,045,983	2015-12-29	2020-12-28	No	4	P	Indirect
2,070,983	2015-12-29	2020-12-28	No	4	P	Indirect
2,070,983	2015-12-29	2020-12-28	No	4	P	Indirect
154,464			No	4	C	Direct
1,004,451	2015-12-31	2020-12-30	No	4	C	Direct
1,017,050	2015-01-25	2021-01-24	No	4	P	Direct
1,225,162	2016-01-27	2020-12-28	No	4	J	Direct

Footnotes

Units consisting of 2 shares and 1 warrant were purchased for $1.20 each.
Held by Michael Taglich C/F Hope Taglich UGMA
Held by Michael Taglich Cust. for Lucy Taglich UTMA NY
Held by Michael Taglich Custodian FBO Amanda Taglich UTMA NY Until Age 21
Held by Michael Taglich Custodian FBO Stella Taglich UTMA NY Until Age 21
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 interest converted, divided by 0.6.
N/A
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.