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