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