0001493152-23-023815.txt : 20230706
0001493152-23-023815.hdr.sgml : 20230706
20230706161516
ACCESSION NUMBER: 0001493152-23-023815
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230101
FILED AS OF DATE: 20230706
DATE AS OF CHANGE: 20230706
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Harvey Sandler Revocable Trust
CENTRAL INDEX KEY: 0001323253
STATE OF INCORPORATION: FL
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-41463
FILM NUMBER: 231073753
BUSINESS ADDRESS:
STREET 1: 21170 N. E. 22ND COURT
CITY: NORTH MIAMI BEACH
STATE: FL
ZIP: 33180
BUSINESS PHONE: 954-389-7100
MAIL ADDRESS:
STREET 1: 21170 N. E. 22ND COURT
CITY: NORTH MIAMI BEACH
STATE: FL
ZIP: 33180
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Rubin Gary D
CENTRAL INDEX KEY: 0001947569
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-41463
FILM NUMBER: 231073754
MAIL ADDRESS:
STREET 1: 2080 NW BOCA RATON BLVD
STREET 2: STE 2
CITY: BOCA RATON
STATE: FL
ZIP: 33431
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: bioAffinity Technologies, Inc.
CENTRAL INDEX KEY: 0001712762
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMMERCIAL PHYSICAL & BIOLOGICAL RESEARCH [8731]
IRS NUMBER: 465211056
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 22211 WEST INTERSTATE-10
STREET 2: SUITE 1206
CITY: SAN ANTONIO
STATE: TX
ZIP: 78257
BUSINESS PHONE: 210-698-5334
MAIL ADDRESS:
STREET 1: 22211 WEST INTERSTATE-10
STREET 2: SUITE 1206
CITY: SAN ANTONIO
STATE: TX
ZIP: 78257
4
1
ownership.xml
X0407
4
2023-01-01
0
0001712762
bioAffinity Technologies, Inc.
BIAF
0001947569
Rubin Gary D
C/O BIOAFFINITY TECHNOLOGIES, INC.
22211 WEST INTERSTATE 10, SUITE 1206
SAN ANTONIO,
TX
78257
1
0
1
0
0001323253
Harvey Sandler Revocable Trust
C/O GARY RUBIN, CO-TRUSTEE
2080 NW BOCA RATON BLVD, SUITE 2
BOCA RATON,
FL
33431
0
0
1
0
0
Common Stock
2023-01-01
4
A
0
8227
2.28
A
59817
D
Common Stock
2023-04-15
4
A
0
9920
1.89
A
69737
D
Common Stock
2023-07-01
4
A
0
10245
1.83
A
79982
D
Common Stock
1584144
I
By Trust
Represents a grant from bioAffinity Technologies, Inc. (the "Issuer") to Mr. Rubin of 8,227 restricted shares of common stock, par value $0.007 (the "Common Stock"), on January 1, 2023 under the Issuer's 2014 Equity Incentive Plan, which shares of restricted stock will vest ratably over three months of continued service beginning on the date of grant and which represents a restricted stock award valued at $18,750 granted by the Issuer to each of its directors each quarter during the calendar year.
Represents a grant from the Issuer to Mr. Rubin of 9,920 restricted shares of Common Stock on April 15, 2023 under the Issuer's 2014 Equity Incentive Plan, which shares of restricted stock will vest one-third on the date of grant, one-third on May 1, 2023 and the remaining shares on June 1, 2023, provided Mr. Rubin continues to serve as a director, and which represents a restricted stock award valued at $18,750 granted by the Issuer to each of its directors each quarter during the calendar year.
Represents a grant from the Issuer to Mr. Rubin of 10,245 restricted shares of Common Stock, on July 1, 2023 under the Issuer's 2014 Equity Incentive Plan, which shares of restricted stock will vest ratably over three months of continued service beginning on the date of grant and which represents a restricted stock award valued at $18,750 granted by the Issuer to each of its directors each quarter during the calendar year.
Represents shares of Common Stock owned directly by the Harvey Sandler Revocable Trust (the "Trust"), a 10% owner of the Issuer, and indirectly by Mr. Rubin, as co-trustee of the Trust, which indirect ownership was previously reported on a Form 4 filed by Mr. Rubin and the Trust on October 21, 2022. Mr. Rubin disclaims beneficial ownership of the reported securities except to the extent of his pecuniary interest therein.
/s/ Gary D. Rubin
2023-07-05