0001209191-22-002269.txt : 20220106 0001209191-22-002269.hdr.sgml : 20220106 20220106202250 ACCESSION NUMBER: 0001209191-22-002269 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220105 FILED AS OF DATE: 20220106 DATE AS OF CHANGE: 20220106 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Mardis Elaine R CENTRAL INDEX KEY: 0001415247 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40443 FILM NUMBER: 22516253 MAIL ADDRESS: STREET 1: 301 MERRITT 7 CITY: NORWALK STATE: CT ZIP: 06851 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: 10931 N. TORREY PINES ROAD, SUITE #100 CITY: LA JOLLA STATE: CA ZIP: 92037 BUSINESS PHONE: (858) 333-7830 MAIL ADDRESS: STREET 1: 10931 N. TORREY PINES ROAD, SUITE #100 CITY: LA JOLLA STATE: CA ZIP: 92037 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2022-01-05 0 0001850906 Singular Genomics Systems, Inc. OMIC 0001415247 Mardis Elaine R 10931 N. TORREY PINES ROAD SUITE 100 LA JOLLA CA 92037 1 0 0 0 Stock Option (Right to Buy) 9.07 2022-01-05 4 A 0 40000 0.00 A 2032-01-05 Common Stock 40000 40000 D 1/3rd of the option shares vest and become exercisable on January 5, 2023 with the remaining option shares vesting in 24 equal monthly installments thereafter. /s/ Dalen Meeter, Attorney-in-Fact 2022-01-06