Andrew L. Ross - 21 Jun 2021 Form 4 Insider Report for iSpecimen Inc. (ISPC)

Role
Director, 10%+ Owner
Signature
/s/ Andrew L. Ross
Issuer symbol
ISPC
Transactions as of
21 Jun 2021
Transactions value $
$0
Form type
4
Filing time
23 Jun 2021, 21:35:54 UTC
Previous filing
29 Nov 2021
Next filing
10 Feb 2023
SEC
View on sec.gov

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
transaction ISPC Common Stock Conversion of derivative security +355,005 +97.4% 719,346 21 Jun 2021 Direct F1
transaction ISPC Common Stock Conversion of derivative security +130,081 +18.1% 849,427 21 Jun 2021 Direct F2
transaction ISPC Common Stock Conversion of derivative security +360,674 +42.5% 1,210,101 21 Jun 2021 Direct F3
transaction ISPC Common Stock Conversion of derivative security +86,438 +7.14% 1,296,539 21 Jun 2021 Direct F4
transaction ISPC Common Stock Conversion of derivative security +13,985 +1.08% 1,310,524 21 Jun 2021 By Andrew L. Ross 2013 Irrevocable Trust F4

Derivative Securities (e.g., puts, calls, warrants, options, convertible securities)

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Underlying Class Amount Exercise Price Ownership Footnotes
transaction ISPC Series A Preferred Stock Conversion of derivative security -355,005 -100% 0 21 Jun 2021 Common Stock 355,005 Direct F5
transaction ISPC Series B Preferred Stock Conversion of derivative security -130,081 -100% 0 21 Jun 2021 Common Stock 130,081 Direct F6
transaction ISPC Convertible Note Other +231 +0.06% 360,674 21 Jun 2021 Common Stock 231 Direct F7, F10
transaction ISPC Convertible Note Conversion of derivative security -360,674 -100% 0 21 Jun 2021 Common Stock 360,674 $5.60 Direct F7
transaction ISPC Bridge Note Other +2,420 +2.88% 86,438 21 Jun 2021 Common Stock 2,420 Direct F8, F11
transaction ISPC Bridge Note Other +39 +0.28% 13,985 21 Jun 2021 Common Stock 39 By Andrew L. Ross 2013 Irrevocable Trust F9, F11
transaction ISPC Bridge Note Conversion of derivative security -86,438 -100% 0 21 Jun 2021 Common Stock 86 $5.60 Direct F8
transaction ISPC Bridge Note Conversion of derivative security -13,985 -100% 0 21 Jun 2021 Common Stock 13,985 $5.60 By Andrew L. Ross 2013 Irrevocable Trust F9
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 Shares were issued to the reporting person upon conversion of the Issuer's Series A Preferred Stock owned through the date of conversion.
F2 Shares were issued to the reporting person upon conversion of the Issuer's Series B Preferred Stock owned through the date of conversion.
F3 Shares were issued to the reporting person upon conversion of an aggregate of $2,019,797 in principal and accrued interest through June 21, 2021 under a convertible note owed to the reporting person.
F4 Shares were issued to the reporting person upon conversion of an aggregate of $562,375 in principal and accrued interest through June 21, 2021 under a bridge note owed to the reporting person.
F5 Shares of Series A Preferred Stock automatically converted into shares of common stock upon the closing of the Issuer's initial public offering (the "IPO) and has no expiration date.
F6 Shares of Series B Preferred Stock automatically converted into shares of common stock upon the closing of the IPO and has no expiration date.
F7 The convertible note has a maturity date of June 30, 2021 and automatically converted into 360,674 shares of common stock at $5.60 upon the closing of the IPO.
F8 The bridge note has a maturity date of June 30, 2021 and automatically converted into 100,423 shares of common stock at $5.60 upon the closing of the IPO.
F9 The bridge note has a maturity date of June 30, 2021 and automatically converted into 13,985 shares of common stock at $5.60 upon the closing of the IPO.
F10 Represents accrued interest from June 17, 2021 to June 21, 2021 under the convertible note.
F11 Represents accrued interest from June 17, 2021 to June 21, 2021 under the bridge note.