OBF Investments, LLC 4

4 · iSpecimen Inc. · Filed Jun 23, 2021

Form 4

Period: 2021-06-21

10% Owner

Transactions

Conversion
Common Stock
[F1][F4]
2021-06-21+250,456→ 250,456 total
Conversion
Common Stock
[F2][F4]
2021-06-21+472,490→ 722,946 total
Conversion
Common Stock
[F3][F4]
2021-06-21+119,035→ 841,981 total
Conversion
Series B Preferred Stock
[F5]
2021-06-21−250,456→ 0 total
→ Common Stock (250,456 underlying)
Other
Convertible Note
[F6][F8]
2021-06-21+307→ 472,490 total
Exp: 2021-06-30→ Common Stock (307 underlying)
Conversion
Convertible Note
[F6]
2021-06-21−472,490→ 0 total
Exercise: $5.60Exp: 2021-06-30→ Common Stock (472,490 underlying)
Other
Bridge Note
[F7][F9]
2021-06-21+364→ 119,035 total
Exp: 2021-06-30→ Common Stock (364 underlying)
Conversion
Bridge Note
[F7]
2021-06-21−119,035→ 0 total
Exercise: $5.60Exp: 2021-06-30→ Common Stock (119,035 underlying)

Footnotes (9)

[F1]Shares were issued to the reporting person upon conversion of the Issuer's Series B Preferred Stock owned through the date of conversion.
[F2]Shares were issued to the reporting person upon conversion of an aggregate of $2,645,945 in principal and accrued interest through June 21, 2021 under a convertible note owed to the reporting person.
[F3]Shares were issued to the reporting person upon conversion of an aggregate of $666,603 in principal and accrued interest through June 21, 2021 under a bridge note owed to the reporting person.
[F4]Mr. George "Bud" Scholl is the President and Chief Executive Officer of OBF Investments, and therefore, may be deemed to hold voting and dispositive power of the securities held by OBF Investments.
[F5]Shares of Series B Preferred Stock automatically converted into shares of common stock upon the closing of the Issuer's initial public offering (the "IPO) and has no expiration date.
[F6]The convertible note has a maturity date of June 30, 2021 and automatically converted into 472,490 shares of common stock at $5.60 upon the closing of the IPO.
[F7]The bridge note has a maturity date of June 30, 2021 and automatically converted into 119,035 shares of common stock at $5.60 upon the closing of the IPO.
[F8]Represents accrued interest from June 17, 2021 to June 21, 2021 under the convertible note.
[F9]Represents accrued interest from June 17, 2021 to June 21, 2021 under the bridge note

Documents

1 file