0001354488-12-002614.txt : 20120515 0001354488-12-002614.hdr.sgml : 20120515 20120515174708 ACCESSION NUMBER: 0001354488-12-002614 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120510 FILED AS OF DATE: 20120515 DATE AS OF CHANGE: 20120515 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BRESLOW HOWARD S CENTRAL INDEX KEY: 0001234572 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-18170 FILM NUMBER: 12846618 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 X0305 4 2012-05-10 0 0000834365 BIOLIFE SOLUTIONS INC BLFS 0001234572 BRESLOW HOWARD S BRESLOW AND WALKER, LLP 100 JERICHO QUADRANGLE JERICHO NY 11753 1 Stock Option (right to buy) .08 2012-05-10 4 A 0 150000 0 A 2013-05-10 2022-05-09 Common Stock 150000 1600000 D /s/ HOWARD S. BRESLOW 2012-05-15