0001209191-23-032603.txt : 20230526 0001209191-23-032603.hdr.sgml : 20230526 20230526170446 ACCESSION NUMBER: 0001209191-23-032603 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230525 FILED AS OF DATE: 20230526 DATE AS OF CHANGE: 20230526 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Pellini Michael J CENTRAL INDEX KEY: 0001402017 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40443 FILM NUMBER: 23970104 MAIL ADDRESS: STREET 1: 222 DUTTON MILL RD CITY: WILLISTOWN STATE: PA ZIP: 19380 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Singular Genomics Systems, Inc. CENTRAL INDEX KEY: 0001850906 STANDARD INDUSTRIAL CLASSIFICATION: LABORATORY ANALYTICAL INSTRUMENTS [3826] IRS NUMBER: 812948451 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 3010 SCIENCE PARK ROAD CITY: SAN DIEGO STATE: CA ZIP: 92121 BUSINESS PHONE: (858) 333-7830 MAIL ADDRESS: STREET 1: 3010 SCIENCE PARK ROAD CITY: SAN DIEGO STATE: CA ZIP: 92121 4 1 doc4.xml FORM 4 SUBMISSION X0407 4 2023-05-25 0 0001850906 Singular Genomics Systems, Inc. OMIC 0001402017 Pellini Michael J 3010 SCIENCE PARK ROAD SAN DIEGO CA 92121 1 0 0 0 0 Stock Option (Right to Buy) 1.06 2023-05-25 4 A 0 100000 0.00 A 2033-05-25 Common Stock 100000 100000 D The option shares vest and become exercisable upon the earlier of the 2024 Stockholder Annual Meeting or May 25, 2024. /s/ Dalen Meeter, Attorney-in-Fact 2023-05-26