0001062993-23-022568.txt : 20231214 0001062993-23-022568.hdr.sgml : 20231214 20231214161633 ACCESSION NUMBER: 0001062993-23-022568 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20231213 FILED AS OF DATE: 20231214 DATE AS OF CHANGE: 20231214 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Dey Indranil CENTRAL INDEX KEY: 0001889815 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-41031 FILM NUMBER: 231487280 MAIL ADDRESS: STREET 1: 360 MASSACHUSETTS AVENUW STREET 2: SUITE 203 CITY: ACTON STATE: MA ZIP: 0170 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 form4.xml STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES X0508 4 2023-12-13 0001704287 Bluejay Diagnostics, Inc. BJDX 0001889815 Dey Indranil C/O BLUEJAY DIAGNOSTICS, INC. 360 MASSACHUSETTS AVENUE, SUITE 203 ACTON MA 01720 1 1 1 0 President and CEO 0 Common Stock 2023-12-13 4 P 0 500 3.27 A 28526 D Common Stock 204567 I Held by Lana Management & Business Research International, LLC Lana Management & Business Research International, LLC is an entity owned by Mr. Indranil Dey and Ms. Svetlana Dey. Mr. Dey has voting and dispositive power over the shares held by such entity. /s/ Indranil Dey 2023-12-14