Kim P. Kamdar - Jun 1, 2021 Form 4 Insider Report for Singular Genomics Systems, Inc. (OMIC)

Role: Director
Signature: /s/ Lisa A. Kraeutler, Attorney-in-Fact
Stock symbol: OMIC
Transactions as of: Jun 1, 2021
Transactions value $: $0
Form type: 4
Date filed: 6/1/2021, 04:40 PM
Previous filing: May 26, 2021
Next filing: Jun 21, 2021

Transactions Table

Type	Sym	Class	Transaction	Shares	Change %	Shares After	Date	Ownership	Footnotes
transaction	OMIC	Common Stock	Conversion of derivative security	+4.4M	+4395.63%	4.5M	Jun 1, 2021	By Domain Partners IX, L.P.	F1
holding	OMIC	Common Stock				15K	Jun 1, 2021	By Domain Associates, LLC	F1
holding	OMIC	Common Stock				15K	Jun 1, 2021	Direct

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

Type	Sym	Class	Transaction	Value $	Shares	Change %	* Price $	Date	Underlying Class	Amount	Ownership	Footnotes
transaction	OMIC	Series Seed Convertible Preferred Stock	Conversion of derivative security	$0	-2.67M	-100%	$0.00^*	Jun 1, 2021	Common Stock	2.67M	By Domain Partners IX, L.P.	F1, F2
transaction	OMIC	Series A Convertible Preferred Stock	Conversion of derivative security	$0	-1.29M	-100%	$0.00^*	Jun 1, 2021	Common Stock	1.29M	By Domain Partners IX, L.P.	F1, F2
transaction	OMIC	Series B Convertible Preferred Stock	Conversion of derivative security	$0	-436K	-100%	$0.00^*	Jun 1, 2021	Common Stock	436K	By Domain Partners IX, L.P.	F1, F2

* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id	Content
F1	The Reporting Person is a managing member of Domain Associates, LLC and of One Partner Square Associates IX, LLC, the sole general partner of Domain Partners IX, L.P. Pursuant to Instruction 4(b)(iv) of Form 4, the Reporting Person has elected to report as indirectly beneficially owned the entire number of securities owned by each such entity, however she disclaims beneficial ownership of any securities, and any proceeds thereof, that exceed her pecuniary interest therein and/or that are not actually distributed to her.
F2	All outstanding shares of convertible preferred stock automatically converted into Common Stock upon the closing of the Issuer's initial public offering for no additional consideration. The convertible preferred stock had no expiration date.

Content

The Reporting Person is a managing member of Domain Associates, LLC and of One Partner Square Associates IX, LLC, the sole general partner of Domain Partners IX, L.P. Pursuant to Instruction 4(b)(iv) of Form 4, the Reporting Person has elected to report as indirectly beneficially owned the entire number of securities owned by each such entity, however she disclaims beneficial ownership of any securities, and any proceeds thereof, that exceed her pecuniary interest therein and/or that are not actually distributed to her.

All outstanding shares of convertible preferred stock automatically converted into Common Stock upon the closing of the Issuer's initial public offering for no additional consideration. The convertible preferred stock had no expiration date.