0001104659-23-004999.txt : 20230119 0001104659-23-004999.hdr.sgml : 20230119 20230119160453 ACCESSION NUMBER: 0001104659-23-004999 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230117 FILED AS OF DATE: 20230119 DATE AS OF CHANGE: 20230119 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Mullan Jill CENTRAL INDEX KEY: 0001857039 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40501 FILM NUMBER: 23537457 MAIL ADDRESS: STREET 1: 450 BEDFORD STREET CITY: LEXINGTON STATE: MA ZIP: 02420 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 tm233905-2_4seq1.xml OWNERSHIP DOCUMENT X0306 4 2023-01-17 0 0001558569 iSpecimen Inc. ISPC 0001857039 Mullan Jill C/O ISPECIMEN INC. 450 BEDFORD STREET LEXINGTON MA 02420 1 0 0 0 Common Stock 2023-01-17 4 M 0 66637 1.00 A 246226 D Option 1.00 2023-01-17 4 M 0 66637 0 D 2023-01-22 Common Stock 66637 10000 D Acquisition of shares of common stock by the Reporting Person upon the exercise of stock options. Represents the $1.00 exercise price per share of the stock options exercised, which was paid by the Reporting Person upon exercise of such stock options. Represents the stock options that were vested on the date of termination of employment of the Reporting Person and will expire if not exercised by the Reporting Person before January 22, 2023. Represents remaining granted stock options across all grants. /s/ Jill Mullan 2023-01-19