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

Role
10%+ Owner
Signature
/s/ Michelle Yanez, Attorney-in-Fact for Brian McNulty, Trustee
Issuer symbol
MIRA
Transactions as of
15 Nov 2023
Net transactions value
$0
Form type
4
Filing time
17 Nov 2023, 17:09:32 UTC
Next filing
08 Feb 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 +700,000 700,000 15 Nov 2023 Common Stock 700,000 $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.