0000911916-12-000178.txt : 20120709 0000911916-12-000178.hdr.sgml : 20120709 20120709141534 ACCESSION NUMBER: 0000911916-12-000178 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20120629 FILED AS OF DATE: 20120709 DATE AS OF CHANGE: 20120709 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: INTERLEUKIN GENETICS INC CENTRAL INDEX KEY: 0001037649 STANDARD INDUSTRIAL CLASSIFICATION: IN VITRO & IN VIVO DIAGNOSTIC SUBSTANCES [2835] IRS NUMBER: 943123681 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 135 BEAVER ST CITY: WATHAM STATE: MA ZIP: 02452 BUSINESS PHONE: 1-781-398-0700 MAIL ADDRESS: STREET 1: 135 BEAVER ST CITY: WATHAM STATE: MA ZIP: 02452 FORMER COMPANY: FORMER CONFORMED NAME: MEDICAL SCIENCE SYSTEMS INC DATE OF NAME CHANGE: 19971003 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Delta Dental Plan of Michigan, Inc. CENTRAL INDEX KEY: 0001552918 STATE OF INCORPORATION: MI FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32715 FILM NUMBER: 12952870 BUSINESS ADDRESS: STREET 1: 4100 OKEMOS ROAD CITY: OKEMOS STATE: MI ZIP: 48864 BUSINESS PHONE: (517) 349-6000 MAIL ADDRESS: STREET 1: 4100 OKEMOS ROAD CITY: OKEMOS STATE: MI ZIP: 48864 3 1 edgar.xml PRIMARY DOCUMENT X0206 3 2012-06-29 0 0001037649 INTERLEUKIN GENETICS INC ILIU 0001552918 Delta Dental Plan of Michigan, Inc. 4100 OKEMOS ROAD OKEMOS MI 48864 0 0 1 0 Series B Convertible Preferred Stock Common Stock 10928962 D The convertible preferred stock is convertible at any time, at the holder's election, and has no expiration date. The conversion rate is calculated by dividing the original purchase price of the Series B convertible preferred stock, which was $3,000,000, by $0.2745, subject to adjustment pursuant to certain antidilution provisions in the Certificate of Designations, Preferences, and Rights of the Series A-1 Preferred Stock and Series B Preferred Stock. /s/ Jonathan S. Groat 2012-07-05 EX-24 2 attach_1.htm

Limited Power of Attorney Securities Law Compliance



The undersigned hereby constitutes and appoints Jason Kimpel the undersigned's true and lawful attorney in fact and agent to complete and execute such Forms 144, Forms 3, 4 and 5 and other forms as such attorney shall in his discretion determine to be required or advisable pursuant to Rule 144 promulgated under the Securities Act of 1933 (as amended), Section 16 of the Securities Exchange Act of 1934 (as amended) and the rules and regulations promulgated thereunder, or any successor laws and regulations, as a consequence of the undersigned's ownership, acquisition or disposition of securities of Interleukin Genetics, Inc. (the "Company"), and to do all acts necessary in order to file such forms with the Securities and Exchange Commission, any securities exchange or national association, the Company and such other person or agency as the attorney shall deem appropriate.  The undersigned hereby ratifies and confirms all that said attorneys in fact and agents shall do or cause to be done by virtue hereof.



This Limited Power of Attorney shall remain in full force and effect until the undersigned is no longer required to file Forms 144, Forms 3, 4 and 5 with respect to the undersigned's holdings of and transactions in securities issued by the Company unless earlier revoked by the undersigned in a writing delivered to the foregoing attorneys-in-fact.



This Limited Power of Attorney is executed at Okemos, Michigan as of the date set forth below.



       DELTA DENTAL PLAN OF MICHIGAN, INC., a Michigan nonprofit corporation





       By: /s/ Jonathan S. Groat

       Name:  Jonathan S. Groat

       Title: General Counsel



       Dated: 7/5/2012



       Witness:

       Signature: /s/ Anna M. Keystyniak

       Name: Anna M. Keystyniak



       Dated: 7/5/2012