Form 1-Z Issuer Information | UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 1-Z EXIT REPORT UNDER REGULATION A | OMB APPROVAL |
| OMB Number: 3235-0723 Estimated average burden hours per response: 1.5 |
1-Z: Filer Information
Issuer CIK | 0001714919 |
Issuer CCC | XXXXXXXX |
File Number | 24R-00124 |
Is this filing by a successor company pursuant to Rule 257(b)(5) resulting from a merger or other business combination? | Yes No |
Successor File Number |
Is this a LIVE or TEST Filing? | LIVE TEST |
Is this an electronic copy of an official filing submitted in paper format? | |
Would you like a Return Copy? |
Submission Contact Information
Name | |
Phone | |
E-Mail Address |
Notify via Filing Website only? |
1-Z: PRELIMINARY INFORMATION
Exact name of issuer as specified in the issuer's charter | BioLife4D Corporation |
Address of Principal Executive Offices | |
Address 1 | 318 Half Day Road, Suite 201 |
Address 2 | |
City | Buffalo Grove |
State/Country | ILLINOIS |
Mailing Zip/ Postal Code | 60089 |
Phone | 224-602-9569 |
Commission File Number(s) | 024-10779 |
1-Z: PART I Summary Information Regarding the Offering and Proceeds
Summary Information
Date of qualification of the offering statement | 01-26-2018 |
Date of commencement of the offering | 02-01-2018 |
Amount of securities qualified to be sold in the offering | 5000000 |
Amount of securities sold in the offering | 369350 |
Price per security: | $ 13.5000 |
The portion of aggregate sales attributable to securities sold on behalf of the issuer | $ 4006139.00 |
The portion of aggregate sales attributable to securities sold on behalf of selling securityholders: | $ 0.00 |
Fees in connection with this offering and names of service providers.
Underwriters - Name of Service Provider | Underwriters - Fees | $ 0.00 | |
Sales Commissions - Name of Service Provider | Dalmore. Sageworks Capital, LLC | Sales Commissions - Fee | $ 97906.00 |
Finders' Fees - Name of Service Provider | Finders' Fees - Fees | $ 0.00 | |
Accounting or Audit - Name of Service Provider | IndigoSpire | Accounting or Audit - Fees | $ 33179.00 |
Legal - Name of Service Provider | Crowdfunding Lawyers. Trowbridge Sidoti, LLP | Legal - Fees | $ 49724.00 |
Promoters - Name of Service Provider | Fischtank | Promoters - Fees | $ 140680.00 |
Blue Sky Compliance - Name of Service Provider | Blue Sky Compliance - Fees | $ 0.00 |
CRD Number of any broker or dealer listed | 162182 |
Net proceeds to the issuer | $ 3684650.00 |
Clarification of responses (if necessary): | The price per security was $10.00, then subsequently raised to $12.50, and lastly to $13.50. Sageworks Capital LLC's CRD Number is 162182 and Dalmore's CRD Number is 136352. |
1-Z: Signature
Signature
Pursuant to the requirements of Regulation A,
Cik | 0001714919 |
(Name of issuer as specified in charter) | BioLife4D Corporation |
certifies that it meets all of the conditions for termination of Regulation A reporting specified in Rule 257(d) and that there are no classes of securities other than those that are the subject to this Form 1-Z regarding which the issuer has Regulation A reporting obligations.
(Name of issuer as specified in charter) | BioLife4D Corporation |
By | Steven Morris |
Date | 12-22-2021 |
Title | Chief Executive Officer |