-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, LbqxH01WqamP7v+uTwQjKWDYnkiBEdPuIbDXrpQZrDRRJNt3vqLYn+I2HjR+CKc1 MEHgBst4eUTvj+Qogvo4vQ== 0001179110-04-000775.txt : 20040108 0001179110-04-000775.hdr.sgml : 20040108 20040108155912 ACCESSION NUMBER: 0001179110-04-000775 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040107 FILED AS OF DATE: 20040108 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: REILLY PHILIP R CENTRAL INDEX KEY: 0001237194 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-23413 FILM NUMBER: 04515564 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 edgar.xml FORM 4 - X0201 4 2004-01-07 0 0001037649 INTERLEUKIN GENETICS INC ILGN 0001237194 REILLY PHILIP R 135 BEAVER STREET WALTHAM MA 02452 1 1 0 0 Chief Executive Officer Common Stock 2004-01-07 4 G 0 12000 4.55 D 24850 D Common Stock 67000 I See footnote Shares are held in irrevocable trusts for the benefit of Dr. Reilly's children. Dr Reilly disclaims beneficial ownership of these shares. Philip R. Reilly 2004-01-08 -----END PRIVACY-ENHANCED MESSAGE-----