0001493152-24-026085.txt : 20240702 0001493152-24-026085.hdr.sgml : 20240702 20240702184707 ACCESSION NUMBER: 0001493152-24-026085 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240701 FILED AS OF DATE: 20240702 DATE AS OF CHANGE: 20240702 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Harvey Sandler Revocable Trust CENTRAL INDEX KEY: 0001323253 ORGANIZATION NAME: STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-41463 FILM NUMBER: 241097651 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 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-41463 FILM NUMBER: 241097652 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] ORGANIZATION NAME: 08 Industrial Applications and Services 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 X0508 4 2024-07-01 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 2024-07-01 4 A 0 33784 0 A 146597 D Common Stock 1584144 I By Trust Grant of restricted shares of common stock, par value $0.007 per share, that vest pro rata on a monthly basis for 12 months commencing on August 1, 2024. 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. Mr. Rubin disclaims beneficial ownership of the reported securities except to the extent of his pecuniary interest therein. /s/ Maria Zannes, as attorney-in-fact for Gary D. Rubin 2024-07-02 /s/ Maria Zannes, as attorney-in-fact for Gary D. Rubin, the Co-Trustee of the Harvey Sandler Revocable Trust 2024-07-02