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BJDX Bluejay Diagnostics Inc

0.547
0.017 (3.21%)
04 May 2024 - Closed
Delayed by 15 minutes
Share Name Share Symbol Market Type
Bluejay Diagnostics Inc NASDAQ:BJDX NASDAQ Common Stock
  Price Change % Change Share Price Bid Price Offer Price High Price Low Price Open Price Shares Traded Last Trade
  0.017 3.21% 0.547 0.5142 0.7923 0.5506 0.488 0.53 20,872 05:00:09

Statement of Changes in Beneficial Ownership (4)

17/12/2021 10:01pm

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
                                                                                  
OMB APPROVAL
OMB Number: 3235-0287
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 *

Gemignani Gary G
2. Issuer Name and Ticker or Trading Symbol

Bluejay Diagnostics, Inc. [ BJDX ]
5. Relationship of Reporting Person(s) to Issuer (Check all applicable)

__X__ Director                    _____ 10% Owner
_____ Officer (give title below)    _____ Other (specify below)
(Last)          (First)          (Middle)

C/O BLUEJAY DIAGNOSTICS, INC, 360 MASSACHUSETTS AVENUE, SUITE 203
3. Date of Earliest Transaction (MM/DD/YYYY)

12/15/2021
(Street)

ACTON, MA 01720
(City)        (State)        (Zip)
4. 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 Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Trans. Date 2A. Deemed Execution Date, if any 3. Trans. Code
(Instr. 8)
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price

Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivate Security
(Instr. 3)
2. Conversion or Exercise Price of Derivative Security3. Trans. Date3A. Deemed Execution Date, if any4. 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 Date7. 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)
CodeV(A)(D)Date ExercisableExpiration DateTitleAmount or Number of Shares
Option to purchase common stock $2.72 12/15/2021  A   25000     (1)12/15/2031 Common Stock 25000  (2)25000 D  

Explanation of Responses:
(1) The stock options set forth in this table vest on the one-year anniversary of the date hereof, subject to the grantee's continued service to the Company on the vesting date.
(2) The stock options were issued in connection with the reporting person's Board of Director services to the Company.

Reporting Owners
Reporting Owner Name / Address
Relationships
Director10% OwnerOfficerOther
Gemignani Gary G
C/O BLUEJAY DIAGNOSTICS, INC
360 MASSACHUSETTS AVENUE, SUITE 203
ACTON, MA 01720
X



Signatures
/s/ Gary Gemignani12/16/2021
**Signature of Reporting PersonDate

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