George Cappy - 02 Aug 2023 Form 4 Insider Report for MIRA PHARMACEUTICALS, INC. (MIRA)

Source evidence Original filing metadata and source links for verification. 4 source fields
SEC form
4
Accepted by SEC
04 Aug 2023, 13:42:39 UTC
Next SEC filing
24 Aug 2023
Source filing
View source filing
Reporting owner 1 detail
Reporting owner signature
/s/ Michelle Yanez, Attorney-in-Fact for George Cappy

Key filing fact

George Cappy filed Form 4 for MIRA PHARMACEUTICALS, INC. (MIRA) on 04 Aug 2023.

Key facts

  • This page summarizes George Cappy's Form 4 filing for MIRA PHARMACEUTICALS, INC. (MIRA).
  • 1 reported transaction and 1 derivative row are listed below.
  • Accepted by SEC: 04 Aug 2023, 13:42.

Change

  • No earlier filing in this sequence is available for direct comparison.
  • Current net transaction value: +$1,100,190.

Research use

  • This tells you what this filing adds before you inspect full transaction and derivative tables.
  • You can trace every row back to the original SEC filing document.

Evidence

Filed on Form 4

Ownership activity is grounded in SEC Form 4 disclosures.

View source filing

Reported non-derivative transactions

Shares, units, or other non-derivative securities reported in this filing.

MIRA transaction

Common Stock

Purchase

Transaction value
$1,100,190
Shares
+157,170
Change %
+6.1%
Price
$7.00
Shares after
2,740,270
Date
02 Aug 2023
Ownership
By Trust
Footnotes
F1, F2
MIRA holding

Common Stock

No transaction description listed

Transaction value
Shares
Change %
Price
Shares after
20,000
Date
02 Aug 2023
Ownership
Direct
Footnotes
F3

Reported derivative securities

Options, warrants, convertible securities, or similar derivative positions disclosed in the filing.

MIRA holding Derivative

Common Stock Warrant (right to buy)

No transaction description listed

Transaction value
Shares
Change %
Price
Shares after
1,000,000
Date
02 Aug 2023
Ownership
By Trust
Underlying class
Common Stock
Underlying amount
1,000,000
Exercise price
$5.00
Footnotes
F2
* marks a reported price that did not pass the local price check.

Additional SEC filing notes

Filing notes and footnotes

Explanation of responses 3 footnotes

Footnote F1

Represents the acquisition of shares of common stock by the Bay Shore Trust (the "Trust") through the conversion of an aggregate of $1,100,190 of indebtedness owing by the Issuer to the Trust, with such conversion occurring on the date of the Issuer's initial public offering at a conversion price of $7.00 per share.

Footnote F2

These securities are owned directly by the Trust, a greater-than-10% owner of the Issuer. As sole trustee of the Trust, George Cappy ("Mr. Cappy") has sole ownership and dispositive power over these securities and is therefore deemed to be an indirect beneficial owner of the securities for purposes of SEC Rule 13d-3, although Mr. Cappy disclaims beneficial ownership of the reported securities due to the absence of any pecuniary interest therein.

Footnote F3

These securities are owned directly by Mr. Cappy.

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