0001144204-17-036095.txt : 20170707 0001144204-17-036095.hdr.sgml : 20170707 20170707160412 ACCESSION NUMBER: 0001144204-17-036095 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170630 FILED AS OF DATE: 20170707 DATE AS OF CHANGE: 20170707 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: VILLIGER WALTER CENTRAL INDEX KEY: 0001113655 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36362 FILM NUMBER: 17955261 MAIL ADDRESS: STREET 1: HURDNERSTRASSE 10, POSTFACH 1474 STREET 2: HURDEN CITY: SEITZERLAND STATE: V8 ZIP: 00000 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: 17955262 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 4 1 v470494_4.xml OWNERSHIP DOCUMENT X0306 4 2017-06-30 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 Series A Nonconvertible Preferred Stock 2017-06-30 4 J 0 4250 A 4250 I By WAVI Holdings AG The shares of Series A nonconvertible preferred stock were issued on July 5, 2017 to WAVI Holdings AG, a wholly owned entity of the reporting person ("WAVI"), in exchange for the cancellation of a previously issued promissory note of the issuer in the name of WAVI in the amount of $4,250,000 including principal and accrued interest thereon through June 1, 2017. Such exchange was pursuant to an agreement between the issuer and WAVI dated June 30, 2017. /s/ Roderick de Greef, as attorney-in-fact for Walter Villiger and WAVI Holdings AG 2017-07-07