George Cappy - Aug 2, 2023 Form 3 Insider Report for MIRA PHARMACEUTICALS, INC. (MIRA)

Role
10%+ Owner
Signature
/s/ Michelle Yanez, Attorney-in-Fact for George Cappy
Stock symbol
MIRA
Transactions as of
Aug 2, 2023
Transactions value $
$0
Form type
3
Date filed
8/2/2023, 06:13 PM
Next filing
Aug 24, 2023

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
holding MIRA Common Stock 20K Aug 2, 2023 Direct F1
holding MIRA Common Stock 2.58M Aug 2, 2023 By Trust F2

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
holding MIRA Common Stock (right to buy) Aug 2, 2023 Common Stock 1M $5.00 By Trust F2
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 These securities are owned directly by George Cappy ("Mr. Cappy").
F2 These securities are owned directly by the Bay Shore Trust (the "Trust"), a 10% owner of the Issuer, and indirectly by Mr. Cappy as trustee of the Trust. Mr. Cappy disclaims beneficial ownership of the reported securities except to the extent of his pecuniary interest therein.