Bay Shore Trust - Nov 15, 2023 Form 4 Insider Report for MIRA PHARMACEUTICALS, INC. (MIRA)

Role
10%+ Owner
Signature
/s/ Michelle Yanez, Attorney-in-Fact for Brian McNulty, Trustee
Stock symbol
MIRA
Transactions as of
Nov 15, 2023
Transactions value $
$0
Form type
4
Date filed
11/17/2023, 05:09 PM
Next filing
Feb 8, 2024

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
transaction MIRA Common Stock Warrant (right to buy) Award +700K 700K Nov 15, 2023 Common Stock 700K $2.00 See Footnote F1
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 The warrants were issued to MIRALOGX LLC ("MIRALOGX"), a wholly-owned subsidiary of the Bay Shore Trust (the "Trust"), a greater than 10% owner of the Issuer, in connection with an Exclusive License Agreement, dated November 15, 2023, by and between MIRALOGX and the Issuer. The Trust may be deemed to beneficially own the shares held by MIRALOGX but disclaims beneficial ownership except to the extent of its pecuniary interest therein, if any.