Gregory Skalicky - Dec 20, 2021 Form 3 Insider Report for Larkspur Health Acquisition Corp. (ZVSA)

Role
Director
Signature
/s/ Gregory Skalicky
Stock symbol
ZVSA
Transactions as of
Dec 20, 2021
Transactions value $
$0
Form type
3
Date filed
12/20/2021, 05:26 PM
Next filing
Mar 10, 2022

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 ZVSA Class B Common Stock Dec 20, 2021 Class A Common Stock 9.58K Direct F1, F2
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 As described in the issuer's registration statement on Form S-1 (File No. 333-256056) (the "Registration Statement") under the section entitled "Description of Securities - Founder Shares," the shares of Class B Common Stock, par value $0.0001 per share, will automatically be converted into shares of Class A Common Stock, par value $0.0001 per share, at the time of the issuer's initial business combination, on a one-for-one basis, subject to certain adjustment described therein, and have no expiration date.
F2 The securities beneficially owned by the Reporting Person consists of 9,584 shares of Class B Common Stock, of which up to 1,250 shares are subject to forfeiture in the event the underwriters of the issuer's initial public offering do not exercise in full their over-allotment option as described in the Registration Statement.