0001493152-22-001000.txt : 20220111 0001493152-22-001000.hdr.sgml : 20220111 20220111215352 ACCESSION NUMBER: 0001493152-22-001000 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220111 FILED AS OF DATE: 20220111 DATE AS OF CHANGE: 20220111 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Kharbanda Surender CENTRAL INDEX KEY: 0001904003 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-41210 FILM NUMBER: 22525447 MAIL ADDRESS: STREET 1: 1200 ROUTE 22 EAST STREET 2: SUITE 2000 CITY: BRIDGEWATER STATE: NJ ZIP: 08807 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Hillstream BioPharma Inc. CENTRAL INDEX KEY: 0001861657 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 842642541 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1200 ROUTE 22 EAST CITY: BRIDGEWATER STATE: NJ ZIP: 08807 BUSINESS PHONE: 302-743-2995 MAIL ADDRESS: STREET 1: 245 MAIN STREET STREET 2: SUITE 204 CITY: CHESTER STATE: NJ ZIP: 07930 3 1 ownership.xml X0206 3 2022-01-11 0 0001861657 Hillstream BioPharma Inc. HILS 0001904003 Kharbanda Surender 8 JACQUELINE CIRCLE NATICK MA 01760 0 0 1 0 Common stock 721240 D Options (right to purchase) 7.822 2026-01-01 Common stock 946 D The Registrant issued the Reporting Person the options on January 1, 2021. The options vested and became exercisable immediately upon grant. /s/ Surender Kharbanda 2022-01-11