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