0001104659-24-012291.txt : 20240208 0001104659-24-012291.hdr.sgml : 20240208 20240208161016 ACCESSION NUMBER: 0001104659-24-012291 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20231231 FILED AS OF DATE: 20240208 DATE AS OF CHANGE: 20240208 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Mock Theresa L CENTRAL INDEX KEY: 0001870249 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40501 FILM NUMBER: 24609169 MAIL ADDRESS: STREET 1: C/O G3 VRM ACQUISITION CORP. STREET 2: 420 BOYLSTON STREET, SUITE 302 CITY: BOSTON STATE: MA ZIP: 02116 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: iSpecimen Inc. CENTRAL INDEX KEY: 0001558569 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMMERCIAL PHYSICAL & BIOLOGICAL RESEARCH [8731] ORGANIZATION NAME: 08 Industrial Applications and Services 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 5 1 tm245072-1_5seq1.xml OWNERSHIP DOCUMENT X0508 5 2023-12-31 0 1 0 0001558569 iSpecimen Inc. ISPC 0001870249 Mock Theresa L C/O ISPECIMEN INC. 450 BEDFORD STREET LEXINGTON MA 02420 1 0 0 0 0 Non-Qualified Stock Options 1.37 3 2033-05-24 Common Stock 6672 6672 D Each non-qualified stock option ("NSO") represents a contingent right to exercise for one share of common stock upon vesting subject to the terms and conditions set forth in the award of such NSOs by iSpecimen Inc. (the "Company") to the Reporting Person pursuant to a Nonqualified Stock Option Award Agreement (the "NSO Agreement") under the iSpecimen Inc. Amended and Restated 2021 Stock Incentive Plan, as amended. The stock options vested respect to 1,672 shares on June 30, 2023, an additional 2,500 shares on September 30, 2023 and the remaining 2,500 shares on December 31, 2023. /s/ Theresa Mock 2024-02-08