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

Role
Director
Signature
/s/ Kathy Lee-Sepsick, Attorney-in-fact
Stock symbol
FEMY
Transactions as of
Jun 17, 2021
Transactions value $
$0
Form type
3
Date filed
6/17/2021, 06:23 PM
Next filing
Jun 24, 2021

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 Jun 17, 2021 Common Stock 91.2K Direct F1
holding FEMY Series C Convertible Preferred Stock Jun 17, 2021 Common Stock 109K 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