0001420506-21-000362.txt : 20210301
0001420506-21-000362.hdr.sgml : 20210301
20210301161143
ACCESSION NUMBER: 0001420506-21-000362
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210218
FILED AS OF DATE: 20210301
DATE AS OF CHANGE: 20210301
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Kamin Peter
CENTRAL INDEX KEY: 0000937541
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-24249
FILM NUMBER: 21697846
MAIL ADDRESS:
STREET 1: 2720 DONALD ROSS ROAD
STREET 2: #311
CITY: PALM BEACH GARDENS
STATE: FL
ZIP: 33410
FORMER NAME:
FORMER CONFORMED NAME: KAMIN PETER H
DATE OF NAME CHANGE: 19950210
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: INTERPACE BIOSCIENCES, INC.
CENTRAL INDEX KEY: 0001054102
STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841]
IRS NUMBER: 222919486
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: MORRIS CORPORATE CENTER 1,
STREET 2: BUILDING C, 300 INTERPACE PARKWAY
CITY: PARSIPPANY
STATE: NJ
ZIP: 07054
BUSINESS PHONE: 412-224-6100
MAIL ADDRESS:
STREET 1: MORRIS CORPORATE CENTER 1,
STREET 2: BUILDING C, 300 INTERPACE PARKWAY
CITY: PARSIPPANY
STATE: NJ
ZIP: 07054
FORMER COMPANY:
FORMER CONFORMED NAME: Interpace Diagnostics Group, Inc.
DATE OF NAME CHANGE: 20151223
FORMER COMPANY:
FORMER CONFORMED NAME: PDI INC
DATE OF NAME CHANGE: 20021113
FORMER COMPANY:
FORMER CONFORMED NAME: PROFESSIONAL DETAILING INC
DATE OF NAME CHANGE: 19980129
3
1
doc3_908.xml
PRIMARY DOCUMENT
X0206
3
2021-02-18
0
0001054102
INTERPACE BIOSCIENCES, INC.
IDXG
0000937541
Kamin Peter
2720 DONALD ROSS ROAD #311
PALM BEACH GARDENS
FL
33410
0
0
1
0
Common Stock
270108
D
Common Stock
234805
I
Peter H. Kamin Revocable Trust
Common Stock
133186
I
Peter H. Kamin Childrens Trust
Common Stock
44670
I
3K Limited Partnership
Common Stock
99187
I
Peter H. Kamin Family Foundation
These Securities are owned by the Peter H. Kamin Revocable Trust dated February 2003. The reporting person is the Trustee of the Trust. The reporting person disclaims beneficial ownership of these Securities except to the extent of his pecuniary interest therein, and this report shall not be deemed an admission that the reporting person is the beneficial owner of such Securities for Section 16 or any other purposes.
These Securities are owned by the Peter H. Kamin Childrens Trust dated March 1997. The reporting person is the Trustee of the Trust. The reporting person disclaims beneficial ownership of these Securities except to the extent of his pecuniary interest therein, and this report shall not be deemed an admission that the reporting person is the beneficial owner of such Securities for Section 16 or any other purposes.
These Securities are owned by 3K Limited Partnership. The reporting person is the General Partner of the Partnership. The reporting person disclaims beneficial ownership of these Securities except to the extent of his pecuniary interest therein, and this report shall not be deemed an admission that the reporting person is the beneficial owner of such Securities for Section 16 or any other purposes.
These Securities are owned by the Peter H. Kamin Family Foundation. The reporting person is the Trustee of the Foundation. The reporting person disclaims beneficial ownership of these Securities except to the extent of his pecuniary interest therein, and this report shall not be deemed an admission that the reporting person is the beneficial owner of such Securities for Section 16 or any other purposes.
Peter H. Kamin
2021-03-01