0001213900-23-022724.txt : 20230324 0001213900-23-022724.hdr.sgml : 20230324 20230324134827 ACCESSION NUMBER: 0001213900-23-022724 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230324 FILED AS OF DATE: 20230324 DATE AS OF CHANGE: 20230324 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Dey Svetlana CENTRAL INDEX KEY: 0001889314 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-41031 FILM NUMBER: 23759261 MAIL ADDRESS: STREET 1: 360 MASSACHUSETTS AVE STREET 2: SUITE 203 CITY: ACTON STATE: MA ZIP: 01720 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 X0407 4 2023-03-24 0 0001704287 Bluejay Diagnostics, Inc. BJDX 0001889314 Dey Svetlana C/O BLUEJAY DIAGNOSTICS, INC. 360 MASSACHUSETTS AVENUE, SUITE 203 ACTON MA 01720 1 0 0 0 0 Common Stock 2023-03-24 4 A 0 10000 0.44 A 47500 D Common Stock 4091356 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. Ms. Dey has voting and dispositive power over the shares held by such entity. /s/ Svetlana Dey 2023-03-24