0001104659-23-003747.txt : 20230113
0001104659-23-003747.hdr.sgml : 20230113
20230113130033
ACCESSION NUMBER: 0001104659-23-003747
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230103
FILED AS OF DATE: 20230113
DATE AS OF CHANGE: 20230113
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Gullans Steven R. Ph.D.
CENTRAL INDEX KEY: 0001571997
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40501
FILM NUMBER: 23528145
MAIL ADDRESS:
STREET 1: C/O EXCEL VENTURE MANAGEMENT, LLC
STREET 2: 800 BOYLSTON ST., STE 2825
CITY: BOSTON
STATE: MA
ZIP: 02199
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: iSpecimen Inc.
CENTRAL INDEX KEY: 0001558569
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMMERCIAL PHYSICAL & BIOLOGICAL RESEARCH [8731]
IRS NUMBER: 270480143
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 450 BEDFORD STREET
STREET 2: SUITE 1010
CITY: LEXINGTON
STATE: MA
ZIP: 02420
BUSINESS PHONE: 781-301-6700
MAIL ADDRESS:
STREET 1: 450 BEDFORD STREET
STREET 2: SUITE 1010
CITY: LEXINGTON
STATE: MA
ZIP: 02420
4
1
tm233286-5_4seq1.xml
OWNERSHIP DOCUMENT
X0306
4
2023-01-03
0
0001558569
iSpecimen Inc.
ISPC
0001571997
Gullans Steven R. Ph.D.
C/O ISPECIMEN INC.
450 BEDFORD STREET
LEXINGTON
MA
02420
1
0
0
0
Option
1.41
2023-01-03
4
A
0
10000
1.41
A
2033-01-03
Common Stock
10000
23525
D
Represents stock options granted to the reporting person on January 3, 2023, pursuant to the Issuer's Amended and Restated Stock Incentive Plan. The stock options vest respect to 2,500 shares on each of March 31, 2023, June 30, 2023, September 30, 2023 and December 31, 2023.
/s/ Steven Gullans
2023-01-13