0000911916-13-000167.txt : 20130521 0000911916-13-000167.hdr.sgml : 20130521 20130521132507 ACCESSION NUMBER: 0000911916-13-000167 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20130517 FILED AS OF DATE: 20130521 DATE AS OF CHANGE: 20130521 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: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32715 FILM NUMBER: 13860989 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 4 1 edgar.xml PRIMARY DOCUMENT X0306 4 2013-05-17 1 0001037649 INTERLEUKIN GENETICS INC ILIU 0001552918 Delta Dental Plan of Michigan, Inc. 4100 OKEMOS ROAD OKEMOS MI 48864 0 0 1 0 Common Stock 2013-05-17 4 C 0 10928961 .2745 A 10928961 D Series B Convertible Preferred Stock .2745 2013-05-17 4 C 0 10928962 0 D Common Stock 10928962 0 D The Series B Convertible Preferred Stock was convertible at any time, at the reporting person's election, and had no expiration date. Jonathan S. Groat, Vice President and General Counsel 2013-05-21