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