Andrew McClary - 21 Jun 2023 Form 4 Insider Report for Azitra Inc (AZTR)

Role
Director
Signature
/s/ Andrew McClary
Issuer symbol
AZTR
Transactions as of
21 Jun 2023
Net transactions value
-$666,122
Form type
4
Filing time
26 Jun 2023, 06:15:25 UTC
Previous filing
15 Jun 2023
Next filing
29 Jun 2023
SEC
View on sec.gov

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
transaction AZTR Common stock, $0.0001 par value Conversion of derivative security +42,347 42,347 21 Jun 2023 See Footnote F1, F3
transaction AZTR Common stock, $0.0001 par value Conversion of derivative security +16,975 16,975 21 Jun 2023 See Footnote F2, F3

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 AZTR Series A-1 Convertible Preferred Stock, par value $0.0001 Conversion of derivative security $623,685 -249,474 -100% $2.50 0 21 Jun 2023 Common stock 42,347 See Footnote F1, F3, F4
transaction AZTR Unsecured convertible note Conversion of derivative security $42,437 0 21 Jun 2023 Common stock 16,975 Direct F2, F3, F4
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 The shares of Series A preferred stock automatically converted into the Issuer's common stock upon the completion of the Issuer's IPO at the conversion price of $2.50 per share.
F2 The unsecured convertible note, including principal and accrued interest in the amount of $105,867.50, automatically converted into the Issuer's common stock upon the completion of the Issuer's IPO at the conversion price of $2.50 per share.
F3 The securities are held by KdT Ventures Fund I, LP, of which Mr. McClary is the managing partner.
F4 Not applicable.