Andrew Spaventa - Jun 1, 2021 Form 4 Insider Report for Singular Genomics Systems, Inc. (OMIC)

Signature
/s/ Dalen Meeter, Attorney-in-Fact
Stock symbol
OMIC
Transactions as of
Jun 1, 2021
Transactions value $
$3,047,334
Form type
4
Date filed
6/1/2021, 09:50 PM
Previous filing
May 26, 2021
Next filing
Dec 6, 2021

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
transaction OMIC Common Stock Conversion of derivative security +716K 716K Jun 1, 2021 By Axon Holdings, LLC F1, F2
transaction OMIC Common Stock Conversion of derivative security $3.05M +173K +24.19% $17.60* 889K Jun 1, 2021 By Axon Holdings, LLC F2, F3
holding OMIC Common Stock 4.61M Jun 1, 2021 By The Andrew K. Spaventa Living Trust dated April 9, 2014

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 OMIC Series Seed Preferred Stock Conversion of derivative security -362K -100% 0 Jun 1, 2021 Common Stock 362K By Axon Holdings, LLC F1, F2
transaction OMIC Series A Preferred Stock Conversion of derivative security -201K -100% 0 Jun 1, 2021 Common Stock 201K By Axon Holdings, LLC F1, F2
transaction OMIC Series B Preferred Stock Conversion of derivative security -152K -100% 0 Jun 1, 2021 Common Stock 152K By Axon Holdings, LLC F1, F2
transaction OMIC Convertible Promissory Note Conversion of derivative security -173K -100% 0 Jun 1, 2021 Common Stock 173K By Axon Holdings, LLC F2, F3, F4
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 Immediately prior to the closing of the Issuer's initial public offering ("IPO"), each share of the Series Seed Preferred Stock, Series A Preferred Stock, and Series B Preferred Stock (collectively, the "Preferred Stock") automatically converted into shares of the Issuer's common stock, par value $0.0001 per share, on a one-for-one basis. The shares of Preferred Stock had no expiration date.
F2 The shares are held directly by Axon Holdings, LLC. The managing member of Axon Holdings, LLC is Axon Managers, LLC. The Reporting Person is a managing member of Axon Managers, LLC. and may be deemed to have shared voting and investment power over the shares held by Axon Holdings, LLC. The Reporting Person disclaims beneficial ownership of the shares except to the extent of his pecuniary interest therein. The holdings of Axon Holdings, LLC depicted above reflect applicable transfers and related transactions prior to the IPO from Axon Ventures X, LLC.
F3 Immediately prior to the closing of the Issuer's IPO, the Convertible Note automatically converted into shares of the Issuer's common stock at a conversion price of $17.60 per share.
F4 The maturity date of the Convertible Note is the earliest to occur of (1) February 25, 2023 and (2) an Event of Default as defined in the related Note Purchase Agreement.