Mullan Jill 4

4 · iSpecimen Inc. · Filed Jun 23, 2021

Form 4

Period: 2021-06-21

DirectorCOO & Secretary

Transactions

Conversion
Common Stock
2021-06-21+76,897→ 126,463 total
Conversion
Bridge Note
2021-06-21−76,897→ 0 total
Exercise: $5.60Exp: 2021-06-30→ Common Stock (76,897 underlying)
Other
Bridge Note
2021-06-21+255→ 76,897 total
Exp: 2021-06-30→ Common Stock (255 underlying)
Conversion
Series A Preferred Stock
2021-06-21−6,250→ 0 total
→ Common Stock (6,250 underlying)
Conversion
Common Stock
2021-06-21+6,250→ 49,566 total

Footnotes (5)

[F1]Shares were issued to the reporting person upon conversion of the Issuer's Series A Preferred Stock owned through the date of conversion.
[F2]Shares were issued to the reporting person upon conversion of an aggregate of $430,625 in principal and accrued interest through June 21, 2021 under a bridge note owed to the reporting person.
[F3]Shares of Series A 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.
[F4]The bridge note has a maturity date of June 30, 2021 and automatically converted into 76,897 shares of common stock at $5.60 upon the closing of the IPO.
[F5]Represents accrued interest from June 17, 2021 to June 21, 2021 under the bridge note.

Documents

1 file