0001493152-23-000376.txt : 20230104 0001493152-23-000376.hdr.sgml : 20230104 20230104174351 ACCESSION NUMBER: 0001493152-23-000376 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230101 FILED AS OF DATE: 20230104 DATE AS OF CHANGE: 20230104 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MILBY RANDY CENTRAL INDEX KEY: 0001360968 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-41210 FILM NUMBER: 23508402 MAIL ADDRESS: STREET 1: 5 JACK LANE CITY: NEWARK STATE: DE ZIP: 19711 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Hillstream BioPharma Inc. CENTRAL INDEX KEY: 0001861657 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 842642541 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1200 ROUTE 22 EAST CITY: BRIDGEWATER STATE: NJ ZIP: 08807 BUSINESS PHONE: 302-743-2995 MAIL ADDRESS: STREET 1: 245 MAIN STREET STREET 2: SUITE 204 CITY: CHESTER STATE: NJ ZIP: 07930 4 1 ownership.xml X0306 4 2023-01-01 0 0001861657 Hillstream BioPharma Inc. HILS 0001360968 MILBY RANDY C/O HILLSTREAM BIOPHARMA, INC. 1200 ROUTE 22 EAST, SUITE 2000 BRIDGEWATER NJ 08807 1 1 1 0 Chief Executive Officer Options (right to purchase) 0.39 2023-01-01 4 A 0 621795 0 A 2023-01-01 2033-01-01 Common stock 621795 621795 D The options were issued pursuant to the Issuer's 2019 Stock Incentive Plan and vested in full upon grant. /s/ Randy Milby 2023-01-04