0001144204-17-032418.txt : 20170614 0001144204-17-032418.hdr.sgml : 20170614 20170614060057 ACCESSION NUMBER: 0001144204-17-032418 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170613 FILED AS OF DATE: 20170614 DATE AS OF CHANGE: 20170614 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: Mathew Aby J. CENTRAL INDEX KEY: 0001556355 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36362 FILM NUMBER: 17910210 MAIL ADDRESS: STREET 1: 3303 MONTE VILLA PARKWAY STREET 2: #310 CITY: BOTHELL STATE: WA ZIP: 98021 4 1 v468960_4.xml OWNERSHIP DOCUMENT X0306 4 2017-06-13 0 0000834365 BIOLIFE SOLUTIONS INC BLFS 0001556355 Mathew Aby J. C/O BIOLIFE SOLUTIONS, INC. 3303 MONTE VILLA PARKWAY, SUITE 310 BOTHELL WA 98021 0 1 0 0 Sr. VP & Chief Tech. Officer Common Stock 2017-06-13 4 M 0 24285 1.401 A 136530 D Stock Option (Right to Buy) 1.401 2017-06-13 4 M 0 24285 0 D 2017-08-07 Common Stock 24285 0 D The option was exercisable in four equal annual installments commencing on 08/07/2008. /s/ Aby Mathew 2017-06-14