UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES 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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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | SEC 1473 (7-02) | ||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. |
1. Title of Derivative Security (Instr. 4) |
2. Date Exercisable and Expiration Date (Month/Day/Year) |
3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) |
4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 5) |
6. Nature of Indirect Beneficial Ownership (Instr. 5) |
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Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||
Option to Purchase | (2) | (2) | Common Stock | 43,500 (1) (2) | $ (2) | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Asaithambi Arunkumar C/O KABHILAN M. 3 PLEASANT LANE OYSTER BAY,, NY 11771 |
X |
/s/ Arunkumar Asaithambi | 06/10/2020 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 5(b)(v). |
** | Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
(1) | In connection with the Issuer's initial public offering ("IPO"), the Issuer intends to effect a 1.74-for-1 stock split on its outstanding common stock, which will become effective immediately before the closing of the Issuer's IPO ("Stock Split"). The share amounts reflect the anticipated Stock Split. |
(2) | Consists of 43,500 shares of common stock that the Reporting Person may acquire from Biological Mimetics, Inc. ("BMI") pursuant to an option arrangement between the Reporting Person and BMI. Under the arrangement, subject to satisfaction of certain vesting conditions, the Reporting Person was granted an option to purchase 174,000 shares of common stock from BMI, of which only 43,500 shares may be exercisable. |