John Q. Adams Jr. - 17 Jun 2021 Form 3 Insider Report for FEMASYS INC (FEMY)

Role
Director
Signature
/s/ Kathy Lee-Sepsick, Attorney-in-fact
Issuer symbol
FEMY
Transactions as of
17 Jun 2021
Net transactions value
$0
Form type
3
Filing time
17 Jun 2021, 18:23:10 UTC
Next filing
24 Jun 2021
SEC
View on sec.gov

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 FEMY Series B Convertible Preferred Stock 17 Jun 2021 Common Stock 91,245 Direct F1
holding FEMY Series C Convertible Preferred Stock 17 Jun 2021 Common Stock 108,693 Direct F2
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 Shares of Series B Convertible Preferred Stock are convertible at any time at the holder's election, without payment of additional consideration. Such shares have no expiration date but are expected to convert into Common Stock automatically upon the closing of the Issuer's initial public offering.
F2 Shares of Series C Convertible Preferred Stock are convertible at any time at the holder's election, without payment of additional consideration. Such shares have no expiration date but are expected to convert into Common Stock automatically upon the closing of the Issuer's initial public offering.

Remarks:

Exhibit List Exhibit 24 - Power of Attorney