0001144204-17-029661.txt : 20170525
0001144204-17-029661.hdr.sgml : 20170525
20170525192755
ACCESSION NUMBER: 0001144204-17-029661
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170523
FILED AS OF DATE: 20170525
DATE AS OF CHANGE: 20170525
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: 3303 MONTE VILLA PARKWAY
STREET 2: SUITE 310
CITY: BOTHELL
STATE: WA
ZIP: 98021
BUSINESS PHONE: 4254011400
MAIL ADDRESS:
STREET 1: 3303 MONTE VILLA PARKWAY
STREET 2: SUITE 310
CITY: BOTHELL
STATE: WA
ZIP: 98021
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: WAVI Holding AG
CENTRAL INDEX KEY: 0001603260
STATE OF INCORPORATION: V8
FISCAL YEAR END: 0331
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36362
FILM NUMBER: 17871436
BUSINESS ADDRESS:
STREET 1: PARADIESSTRASSE 25
CITY: JONA
STATE: V8
ZIP: CH 8645
BUSINESS PHONE: 415 54174759
MAIL ADDRESS:
STREET 1: PARADIESSTRASSE 25
CITY: JONA
STATE: V8
ZIP: CH 8645
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: VILLIGER WALTER
CENTRAL INDEX KEY: 0001113655
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36362
FILM NUMBER: 17871437
MAIL ADDRESS:
STREET 1: HURDNERSTRASSE 10, POSTFACH 1474
STREET 2: HURDEN
CITY: SEITZERLAND
STATE: V8
ZIP: 00000
4
1
v467872_4.xml
OWNERSHIP DOCUMENT
X0306
4
2017-05-23
0
0000834365
BIOLIFE SOLUTIONS INC
BLFS
0001113655
VILLIGER WALTER
HURDNERSTRASSE 10
POSTFACH 1474 HURDEN
SEITZERLAND
V8
00000
SWITZERLAND
0
0
1
0
0001603260
WAVI Holding AG
PARADIESSTRASSE 25
JONA
V8
CH 8645
SWITZERLAND
0
0
1
0
Common Stock
2017-05-23
4
X
0
71429
1.12
A
3747503
I
By WAVI Holdings AG
Warrants
1.12
2017-05-23
4
X
0
71429
0
D
2012-05-23
2017-05-29
Common Stock
71429
0
D
The shares of common stock were issued to WAVI Holdings AG, a wholly owned entity of the reporting person, upon exercise of the warrants held by the reporting person.
/s/ Roderick de Greef, as attorney-in-fact for Walter Villiger and WAVI Holdings AG
2017-05-25