Initial Statement of Beneficial Ownership (3)
March 01 2021 - 4:13PM
Edgar (US Regulatory)
FORM 3
|
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
|
OMB APPROVAL
OMB Number:
3235-0104
Estimated average burden hours per response...
0.5
|
|
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
|
|
1. Name and Address of Reporting Person
*
Kamin Peter |
2. Date of Event Requiring Statement (MM/DD/YYYY)
2/18/2021
|
3. Issuer Name and Ticker or Trading Symbol
INTERPACE BIOSCIENCES, INC. [IDXG]
|
(Last)
(First)
(Middle)
2720 DONALD ROSS ROAD #311 |
4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
_____ Director ___X___ 10% Owner _____ Officer (give title below) _____ Other (specify below)
|
(Street)
PALM BEACH GARDENS, FL 33410
(City)
(State)
(Zip)
| 5. If Amendment, Date Original Filed(MM/DD/YYYY)
| 6. Individual or Joint/Group Filing(Check Applicable Line)
_X_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
|
Table I - Non-Derivative Securities Beneficially Owned
|
1.Title of Security (Instr. 4) | 2. Amount of Securities Beneficially Owned (Instr. 4) | 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 4. Nature of Indirect Beneficial Ownership (Instr. 5) |
Common Stock | 270108 | D | |
Common Stock | 234805 | I | Peter H. Kamin Revocable Trust (1) |
Common Stock | 133186 | I | Peter H. Kamin Childrens Trust (2) |
Common Stock | 44670 | I | 3K Limited Partnership (3) |
Common Stock | 99187 | I | Peter H. Kamin Family Foundation (4) |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
|
1. Title of Derivate Security (Instr. 4) | 2. Date Exercisable and Expiration Date (MM/DD/YYYY) | 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) | 4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 5) | 6. Nature of Indirect Beneficial Ownership (Instr. 5) |
Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Explanation of Responses: |
(1) | These Securities are owned by the Peter H. Kamin Revocable Trust dated February 2003. The reporting person is the Trustee of the Trust. The reporting person disclaims beneficial ownership of these Securities except to the extent of his pecuniary interest therein, and this report shall not be deemed an admission that the reporting person is the beneficial owner of such Securities for Section 16 or any other purposes. |
(2) | These Securities are owned by the Peter H. Kamin Childrens Trust dated March 1997. The reporting person is the Trustee of the Trust. The reporting person disclaims beneficial ownership of these Securities except to the extent of his pecuniary interest therein, and this report shall not be deemed an admission that the reporting person is the beneficial owner of such Securities for Section 16 or any other purposes. |
(3) | These Securities are owned by 3K Limited Partnership. The reporting person is the General Partner of the Partnership. The reporting person disclaims beneficial ownership of these Securities except to the extent of his pecuniary interest therein, and this report shall not be deemed an admission that the reporting person is the beneficial owner of such Securities for Section 16 or any other purposes. |
(4) | These Securities are owned by the Peter H. Kamin Family Foundation. The reporting person is the Trustee of the Foundation. The reporting person disclaims beneficial ownership of these Securities except to the extent of his pecuniary interest therein, and this report shall not be deemed an admission that the reporting person is the beneficial owner of such Securities for Section 16 or any other purposes. |
Reporting Owners
|
Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
Kamin Peter 2720 DONALD ROSS ROAD #311 PALM BEACH GARDENS, FL 33410 |
| X |
|
|
Signatures
|
Peter H. Kamin | | 3/1/2021 |
**Signature of Reporting Person | Date |
Interpace Biosciences (NASDAQ:IDXG)
Historical Stock Chart
From Mar 2024 to Apr 2024
Interpace Biosciences (NASDAQ:IDXG)
Historical Stock Chart
From Apr 2023 to Apr 2024