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

Role
Director
Signature
/s/ Andrew McClary
Stock symbol
AZTR
Transactions as of
Jun 21, 2023
Transactions value $
-$666,122
Form type
4
Date filed
6/26/2023, 06:15 AM
Previous filing
Jun 15, 2023
Next filing
Jun 29, 2023

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 +42.3K 42.3K Jun 21, 2023 See Footnote F1, F3
transaction AZTR Common stock, $0.0001 par value Conversion of derivative security +17K 17K Jun 21, 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 -$624K -249K -100% $2.50 0 Jun 21, 2023 Common stock 42.3K See Footnote F1, F3, F4
transaction AZTR Unsecured convertible note Conversion of derivative security -$42.4K 0 Jun 21, 2023 Common stock 17K 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.