0001819113-22-000047.txt : 20220701
0001819113-22-000047.hdr.sgml : 20220701
20220701160834
ACCESSION NUMBER: 0001819113-22-000047
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220629
FILED AS OF DATE: 20220701
DATE AS OF CHANGE: 20220701
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Forman Darcy
CENTRAL INDEX KEY: 0001887134
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39727
FILM NUMBER: 221061449
MAIL ADDRESS:
STREET 1: C/O LIFESCI ACQUISITION II CORP.
STREET 2: 250 W 55TH STREET, #3401
CITY: NEW YORK
STATE: NY
ZIP: 10019
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Science 37 Holdings, Inc.
CENTRAL INDEX KEY: 0001819113
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMMERCIAL PHYSICAL & BIOLOGICAL RESEARCH [8731]
IRS NUMBER: 844278203
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 600 CORPORATE POINTE
STREET 2: SUITE 320
CITY: CULVER CITY
STATE: CA
ZIP: 90230
BUSINESS PHONE: (984)377-3737
MAIL ADDRESS:
STREET 1: 600 CORPORATE POINTE
STREET 2: SUITE 320
CITY: CULVER CITY
STATE: CA
ZIP: 90230
FORMER COMPANY:
FORMER CONFORMED NAME: Lifesci Acquisition II Corp.
DATE OF NAME CHANGE: 20200723
4
1
wf-form4_165670609302280.xml
FORM 4
X0306
4
2022-06-29
0
0001819113
Science 37 Holdings, Inc.
SNCE
0001887134
Forman Darcy
800 PARK OFFICES DRIVE, SUITE 3606
RESEARCH TRIANGLE PARK
NC
27709
0
1
0
0
Chief Delivery Officer
Common Stock
2022-06-29
4
M
0
68075
0.28
A
110456
D
Stock Option
0.28
2022-06-29
4
M
0
68075
0
D
2030-06-07
Common Stock
68075.0
68075
D
Stock Option will vest in equal monthly installments until fully vested on June 5, 2024, subject to the executive's continued service through the applicable vesting date.
The total amount has been adjusted to add three derivative securities that were not previously included due to a rounding error.
/s/ Christine Pellizzari, Attorney-in-fact for Darcy Forman
2022-07-01