0001213900-22-014604.txt : 20220323
0001213900-22-014604.hdr.sgml : 20220323
20220323201644
ACCESSION NUMBER: 0001213900-22-014604
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220322
FILED AS OF DATE: 20220323
DATE AS OF CHANGE: 20220323
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Gemignani Gary G
CENTRAL INDEX KEY: 0001512256
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-41031
FILM NUMBER: 22764412
MAIL ADDRESS:
STREET 1: C/O IASO PHARMA INC.
STREET 2: 12707 HIGH BLUFF DRIVE, SUITE 200
CITY: SAN DIEGO
STATE: CA
ZIP: 92130
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Bluejay Diagnostics, Inc.
CENTRAL INDEX KEY: 0001704287
STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841]
IRS NUMBER: 473552922
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 360 MASSACHUSETTS AVENUE, SUITE 203
CITY: ACTON
STATE: MA
ZIP: 01720
BUSINESS PHONE: (978) 631-0152
MAIL ADDRESS:
STREET 1: 360 MASSACHUSETTS AVENUE, SUITE 203
CITY: ACTON
STATE: MA
ZIP: 01720
4
1
ownership.xml
X0306
4
2022-03-22
0
0001704287
Bluejay Diagnostics, Inc.
BJDX
0001512256
Gemignani Gary G
C/O BLUEJAY DIAGNOSTICS, INC
360 MASSACHUSETTS AVENUE, SUITE 203
ACTON
MA
01720
1
0
0
0
Option to purchase common stock
1.26
2022-03-22
4
A
0
2500
A
2032-03-22
Common Stock
2500
27500
D
The stock options set forth in this table vest on December 15, 2022, subject to the grantee's continued service to the Company on the vesting date.
The stock options were issued in connection with the reporting person's Board of Director services to the Company.
/s/ Gary Gemignani
2022-03-23