0001140361-18-036265.txt : 20180813
0001140361-18-036265.hdr.sgml : 20180813
20180813180742
ACCESSION NUMBER: 0001140361-18-036265
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20180807
FILED AS OF DATE: 20180813
DATE AS OF CHANGE: 20180813
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: POLAN MARY LAKE PH D
CENTRAL INDEX KEY: 0001187716
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35569
FILM NUMBER: 181013630
MAIL ADDRESS:
STREET 1: STANFORD UNIVERSITY SCHOOL OF MEDICINE
STREET 2: 300 PASTAUR DR ROOM HH333
CITY: STANFORD
STATE: CA
ZIP: 94305-5317
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: CHEMBIO DIAGNOSTICS, INC.
CENTRAL INDEX KEY: 0001092662
STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834]
IRS NUMBER: 880425691
STATE OF INCORPORATION: NV
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 3661 HORSEBLOCK ROAD
CITY: MEDFORD
STATE: NY
ZIP: 11763
BUSINESS PHONE: (631) 924-1135
MAIL ADDRESS:
STREET 1: 3661 HORSEBLOCK ROAD
CITY: MEDFORD
STATE: NY
ZIP: 11763
FORMER COMPANY:
FORMER CONFORMED NAME: Chembio Diagnostics Inc.
DATE OF NAME CHANGE: 20040607
FORMER COMPANY:
FORMER CONFORMED NAME: TRADING SOLUTIONS COM INC
DATE OF NAME CHANGE: 19990805
3
1
form3.xml
FORM 3
X0206
3
2018-08-07
0
0001092662
CHEMBIO DIAGNOSTICS, INC.
CEMI
0001187716
POLAN MARY LAKE PH D
3661 HORSEBLOCK ROAD
MEDFORD
NY
11763
true
None
0
D
Option to Purchase Common Stock
11.45
2018-08-07
2023-08-07
Common Stock
9375
D
Option to Purchase Common Stock
11.45
2019-08-07
2023-08-07
Common Stock
9375
D
Option to Purchase Common Stock
11.45
2020-08-07
2023-08-07
Common Stock
9375
D
Option to Purchase Common Stock
11.45
2021-08-07
2023-08-07
Common Stock
9375
D
Option to Purchase Common Stock
11.45
2022-08-07
2023-08-07
Common Stock
9375
D
No securities beneficially owned immediately prior to appointment.
"Close/Last" price as reported by NASDAQ on August 7, 2018.
/s/ Mary Lake Polan
2018-08-13