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