-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, Ve3Q4Ur+4wTk9LC4PBupVc16KRu5S2ArxWVi38WO6UZ/OFhLiT3fQ/f2qn+JOUK2 4TTVl3DXM7Nj+L0JPE6irg== 0001076998-04-000001.txt : 20040116 0001076998-04-000001.hdr.sgml : 20040116 20040116102935 ACCESSION NUMBER: 0001076998-04-000001 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040113 FILED AS OF DATE: 20040116 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: BIOLIFE SOLUTIONS INC CENTRAL INDEX KEY: 0000834365 STANDARD INDUSTRIAL CLASSIFICATION: ELECTROMEDICAL & ELECTROTHERAPEUTIC APPARATUS [3845] IRS NUMBER: 943076866 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: SUNY PARK SCIENCE III STREET 2: SUITE 144 CITY: BINGHAMTON STATE: NY ZIP: 13902-6000 BUSINESS PHONE: 6077772775 MAIL ADDRESS: STREET 1: SUNYPARK SCIENCE III STREET 2: STE 144 CITY: BINGHAMTON STATE: NY ZIP: 13902-6000 FORMER COMPANY: FORMER CONFORMED NAME: BIOLIFE SOLUTION INC DATE OF NAME CHANGE: 20030113 FORMER COMPANY: FORMER CONFORMED NAME: CRYOMEDICAL SCIENCES INC DATE OF NAME CHANGE: 19920703 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BAUST JOHN G PH D CENTRAL INDEX KEY: 0001076998 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-18170 FILM NUMBER: 04528744 BUSINESS ADDRESS: STREET 1: CRYOMEDICAL SCIENCES INC STREET 2: 1300 PICCARD DRIVE STE 102 CITY: ROCKVILLE STATE: MD ZIP: 20850 BUSINESS PHONE: 3014177070 MAIL ADDRESS: STREET 1: CRYOMEDICAL SCIENCES INC STREET 2: 1300 PICCARD DRIVE STE 102 CITY: ROCKVILLE STATE: MD ZIP: 20850 4 1 edgar.xml PRIMARY DOCUMENT X0201 42004-01-13 0000834365 BIOLIFE SOLUTIONS INC BLFS 0001076998 BAUST JOHN G PH D C/O BIOLIFE SOLUTIONS, INC. SCIENCE 3 SUITE 144 SUNY PARK BINGHAMTON NY 13902 1000Series G Convertible Preferred Stock2004-01-134P02.125ACommon Stock6640632.125DCommon Stock Warrants (right to buy).082004-01-134P02.125A2013-10-31Common Stock6640632.125DThe reported securities are included within 2.125 BioLife Solutions, Inc. Units purchased by the reporting person for $25,000.00 per Unit. Each Unit consists of one share of Series G Convertible Preferred Stock convertible into 312,500 shares of common stock per share, and one warrant to purchase 312,500 sha res of common stock at a price of $0.08 per share.1 for 312,500ImmediatelySuch Preferred Stock is perpetual.John G. Baust2004-01-13 -----END PRIVACY-ENHANCED MESSAGE-----