0001104659-24-063361.txt : 20240520 0001104659-24-063361.hdr.sgml : 20240520 20240520152645 ACCESSION NUMBER: 0001104659-24-063361 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240102 FILED AS OF DATE: 20240520 DATE AS OF CHANGE: 20240520 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Ross Andrew L. CENTRAL INDEX KEY: 0001857013 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40501 FILM NUMBER: 24964098 MAIL ADDRESS: STREET 1: 450 BEDFORD STREET CITY: LEXINGTON STATE: MA ZIP: 02420 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: iSpecimen Inc. CENTRAL INDEX KEY: 0001558569 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMMERCIAL PHYSICAL & BIOLOGICAL RESEARCH [8731] ORGANIZATION NAME: 08 Industrial Applications and Services IRS NUMBER: 270480143 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 450 BEDFORD STREET STREET 2: SUITE 1010 CITY: LEXINGTON STATE: MA ZIP: 02420 BUSINESS PHONE: 781-301-6700 MAIL ADDRESS: STREET 1: 450 BEDFORD STREET STREET 2: SUITE 1010 CITY: LEXINGTON STATE: MA ZIP: 02420 4 1 tm2414962-5_4seq1.xml OWNERSHIP DOCUMENT X0508 4 2024-01-02 0 0001558569 iSpecimen Inc. ISPC 0001857013 Ross Andrew L. C/O ISPECIMEN INC. 450 BEDFORD STREET LEXINGTON MA 02420 1 0 0 0 0 Option 0.53 2024-01-02 4 A 0 10000 0.53 A 2034-01-01 Common Stock 10000 33525 D Represents stock options granted to the reporting person on January 2, 2024, pursuant to the Issuer's Amended and Restated Stock Incentive Plan. The stock options vest respect to 2,500 shares on each of March 31, 2024, June 30, 2024, September 30, 2024 and December 31, 2024. /s/ Andrew L. Ross 2024-05-20