0001144204-11-027211.txt : 20110509
0001144204-11-027211.hdr.sgml : 20110509
20110509165549
ACCESSION NUMBER: 0001144204-11-027211
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20110506
FILED AS OF DATE: 20110509
DATE AS OF CHANGE: 20110509
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: KORNMAN KENNETH S
CENTRAL INDEX KEY: 0001237192
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-32715
FILM NUMBER: 11824154
MAIL ADDRESS:
STREET 1: C/O INTERLEUKIN GENETICS INC
STREET 2: 135 BEAVER STREET
CITY: WALTHAM
STATE: MA
ZIP: 02452
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
4
1
v221586_ex.xml
X0303
4
2011-05-06
0
0001037649
INTERLEUKIN GENETICS INC
ILIU
0001237192
KORNMAN KENNETH S
135 BEAVER STREET
WALTHAM
MA
02452
1
1
0
0
Chief Scientific Officer/Pres.
Stock Option (Right to Buy)
0.46
2011-05-06
4
A
0
100000
0
A
2021-05-06
Common Stock
100000
100000
D
The option vests as to 25% of the shares on each of the first, second, third and fourth anniversaries of the grant date.
The exercise price of the option is the closing price of the issuer's common stock on the OTCQB on 05/06/2011, which was the
grant date of the option.
/s/ Kenneth S. Kornman
2011-05-09