0001209191-23-006000.txt : 20230201
0001209191-23-006000.hdr.sgml : 20230201
20230201185214
ACCESSION NUMBER: 0001209191-23-006000
CONFORMED SUBMISSION TYPE: 5
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20221231
FILED AS OF DATE: 20230201
DATE AS OF CHANGE: 20230201
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Spaventa Andrew
CENTRAL INDEX KEY: 0001859701
FILING VALUES:
FORM TYPE: 5
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40443
FILM NUMBER: 23578255
MAIL ADDRESS:
STREET 1: 10931 N. TORREY PINES ROAD, SUITE 100
CITY: LA JOLLA
STATE: CA
ZIP: 92037
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Singular Genomics Systems, Inc.
CENTRAL INDEX KEY: 0001850906
STANDARD INDUSTRIAL CLASSIFICATION: LABORATORY ANALYTICAL INSTRUMENTS [3826]
IRS NUMBER: 812948451
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 3010 SCIENCE PARK ROAD
CITY: SAN DIEGO
STATE: CA
ZIP: 92121
BUSINESS PHONE: (858) 333-7830
MAIL ADDRESS:
STREET 1: 3010 SCIENCE PARK ROAD
CITY: SAN DIEGO
STATE: CA
ZIP: 92121
5
1
doc5.xml
FORM 5 SUBMISSION
X0306
5
2022-12-31
0
0
0
0001850906
Singular Genomics Systems, Inc.
OMIC
0001859701
Spaventa Andrew
3010 SCIENCE PARK ROAD
SAN DIEGO
CA
92121
1
1
0
0
Chief Executive Officer
Common Stock
2022-10-04
5
G
0
500000
0.00
D
3913571
I
By The Andrew K. Spaventa Living Trust dated April 9, 2014
Common Stock
9766
D
This transaction represents a gift by the Reporting Person.
/s/ Dalen Meeter, Attorney-in-Fact
2023-02-01