Andrew McClary - 23 Jun 2023 Form 4/A - Amendment Insider Report for Azitra Inc (AZTR)

Role
Director
Signature
/s/ Andrew McClary
Issuer symbol
AZTR
Transactions as of
23 Jun 2023
Transactions value $
-$106,093
Form type
4/A - Amendment
Filing time
29 Jun 2023, 16:56:46 UTC
Date Of Original Report
26 Jun 2023
Previous filing
26 Jun 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 +249K 249K 21 Jun 2023 See footnote F1, F3
transaction AZTR Common stock, $0.0001 par value Conversion of derivative security +42.4K +17.01% 292K 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 $0 -32K -100% $0.00* 0 21 Jun 2023 Common stock 249K $4.81 See footnote F1, F3
transaction AZTR Unsecured convertible promissory note Conversion of derivative security -$106K 0 21 Jun 2023 Common Stock 42.4K $2.50 See footnote F2, F3
* 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 $4.8146 per share.
F2 The unsecured convertible note, including principal and accrued interest in the amount of $106,093.15, 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.