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