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