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