0001144204-12-069392.txt : 20121221 0001144204-12-069392.hdr.sgml : 20121221 20121221183856 ACCESSION NUMBER: 0001144204-12-069392 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20121221 FILED AS OF DATE: 20121221 DATE AS OF CHANGE: 20121221 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: 121283201 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 v330861_4.xml OWNERSHIP DOCUMENT X0306 4 2012-12-21 0 0001037649 INTERLEUKIN GENETICS INC ILIU 0001237192 KORNMAN KENNETH S C/O INTERLEUKIN GENETICS INC 135 BEAVER STREET WALTHAM MA 02452 1 1 0 0 See Remarks Stock Option (Right to Buy) 0.34 2012-12-21 4 A 0 300000 0 A 2022-12-21 Common Stock 300000 300000 D The exercise price of the option is the closing price of the issuer's common stock on the OTCQB on 12/21/2012, which was the grant date of the option. The option vests as to 75,000, 100,000 and 125,000 shares on the first, second and third anniversaries of the grant date, respectively. Chief Executive Officer, Chief Scientific Officer and President /s/ Kenneth S. Kornman 2012-12-21