Statement of Changes in Beneficial Ownership (4)
March 01 2021 - 4:14PM
Edgar (US Regulatory)
FORM 4
[ ]
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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3235-0287
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Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
*
Kamin Peter |
2. Issuer Name and Ticker or Trading Symbol
INTERPACE BIOSCIENCES, INC.
[
IDXG
]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director __X__ 10% Owner _____ Officer (give title below) _____ Other (specify below)
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(Last)
(First)
(Middle)
2720 DONALD ROSS ROAD #311 |
3. Date of Earliest Transaction
(MM/DD/YYYY)
2/26/2021 |
(Street)
PALM BEACH GARDENS, FL 33410
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
_X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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1.Title of Security (Instr. 3)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. Code (Instr. 8)
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4. Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5)
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5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
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7. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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Amount
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(A) or (D)
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Price
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Common Stock | 2/26/2021 | | P | | 14946 | A | $3.17 | 253748 | D | |
Common Stock | 3/1/2021 | | P | | 16360 | A | $3.08 | 270108 | D | |
Common Stock | 2/26/2021 | | P | | 14874 | A | $3.17 | 220079 | I | By Peter H. Kamin Revocable Trust (1) |
Common Stock | 3/1/2021 | | P | | 14726 | A | $3.08 | 234805 | I | By Peter H. Kamin Revocable Trust (1) |
Common Stock | 2/26/2021 | | P | | 8333 | A | $3.17 | 124934 | I | By Peter H. Kamin Childrens Trust (2) |
Common Stock | 3/1/2021 | | P | | 8252 | A | $3.08 | 133186 | I | By Peter H. Kamin Childrens Trust (2) |
Common Stock | 2/26/2021 | | P | | 2897 | A | $3.17 | 41808 | I | By 3K Limited Partnership (3) |
Common Stock | 3/1/2021 | | P | | 2862 | A | $3.08 | 44670 | I | By 3K Limited Partnership (3) |
Common Stock | | | | | | | | 99187 | I | By Peter H. Kamin Family Foundation (4) |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Trans. Date | 3A. Deemed Execution Date, if any | 4. Trans. Code (Instr. 8) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) | 6. Date Exercisable and Expiration Date | 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) | 8. Price of Derivative Security (Instr. 5) | 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) | 10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) |
Code | V | (A) | (D) | 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
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
Kamin Peter 2720 DONALD ROSS ROAD #311 PALM BEACH GARDENS, FL 33410 |
| X |
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Signatures
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Peter H. Kamin | | 3/1/2021 |
**Signature of Reporting Person | Date |
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