0001209191-22-034752.txt : 20220607
0001209191-22-034752.hdr.sgml : 20220607
20220607073014
ACCESSION NUMBER: 0001209191-22-034752
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220531
FILED AS OF DATE: 20220607
DATE AS OF CHANGE: 20220607
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Pellini Michael J
CENTRAL INDEX KEY: 0001402017
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40443
FILM NUMBER: 22999817
MAIL ADDRESS:
STREET 1: 222 DUTTON MILL RD
CITY: WILLISTOWN
STATE: PA
ZIP: 19380
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Singular Genomics Systems, Inc.
CENTRAL INDEX KEY: 0001850906
STANDARD INDUSTRIAL CLASSIFICATION: LABORATORY ANALYTICAL INSTRUMENTS [3826]
IRS NUMBER: 812948451
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 3010 SCIENCE PARK ROAD
CITY: SAN DIEGO
STATE: CA
ZIP: 92121
BUSINESS PHONE: (858) 333-7830
MAIL ADDRESS:
STREET 1: 3010 SCIENCE PARK ROAD
CITY: SAN DIEGO
STATE: CA
ZIP: 92121
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2022-05-31
0
0001850906
Singular Genomics Systems, Inc.
OMIC
0001402017
Pellini Michael J
3010 SCIENCE PARK ROAD
SAN DIEGO
CA
92121
1
0
0
0
Common Stock
2022-05-31
4
M
0
60668
0.2108
A
159957
D
Common Stock
2022-05-31
4
M
0
34271
0.235
A
194228
D
Common Stock
2022-05-31
4
M
0
60000
0.63
A
254228
D
Common Stock
2022-05-31
4
G
0
154939
0.00
D
99289
D
Common Stock
251933
I
By The Pellini Family Trust
Stock Option (Right to Buy)
0.2108
2022-05-31
4
M
0
60668
0.00
D
2017-09-15
2027-09-14
Common Stock
60668
0
D
Stock Option (Right to Buy)
0.235
2022-05-31
4
M
0
34271
0.00
D
2018-12-12
2028-12-11
Common Stock
34271
0
D
Stock Option (Right to Buy)
0.63
2022-05-31
4
M
0
60000
0.00
D
2019-12-17
2029-12-16
Common Stock
60000
0
D
Immediately upon exercise of the Reporting Person's options, the Reporting Person transferred his shares as a gift to The Pellini Family Trust.
The Reporting Person is the trustee of The Pellini Family Trust and has voting and dispositive power with respect to these shares.
/s/ Dalen Meeter, Attorney-in-Fact
2022-06-07