0001354488-12-000752.txt : 20120217 0001354488-12-000752.hdr.sgml : 20120217 20120217181203 ACCESSION NUMBER: 0001354488-12-000752 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120215 FILED AS OF DATE: 20120217 DATE AS OF CHANGE: 20120217 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Taylor Daphne L CENTRAL INDEX KEY: 0001393549 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-18170 FILM NUMBER: 12624129 MAIL ADDRESS: STREET 1: 3303 MONTE VILLA PARKWAY CITY: BOTHELL STATE: WA ZIP: 98021 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 4 1 issuerdirect_section16.xml PRIMARY DOCUMENT X0304 4 2012-02-15 0 0000834365 BIOLIFE SOLUTIONS INC BLFS 0001393549 Taylor Daphne L C/O BIOLIFE SOLUTIONS, INC. 3303 MONTE VILLA PARKWAY STE. 310 BOTHELL WA 98021 1 Chief Financial Officer Stock Option (right to buy) 0.10 2012-02-15 4 A 0 250000 0 A 2022-02-14 Common Stock 250000 1000000 D Exercisable to the extent of 62,500 on 2/15/2013, and remaining balance exercisable to the extent of 1/36th thereof on the 15th day of each month commencing on 3/15/2013. /s/ Daphne Taylor 2012-02-15