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

Source evidence Original filing metadata and source links for verification. 5 source fields
SEC form
4
Accepted by SEC
26 Jun 2023, 06:15:25 UTC
Prior SEC filing
15 Jun 2023
Next SEC filing
29 Jun 2023
Source filing
View source filing
Reporting owner 1 detail
Reporting owner signature
/s/ Andrew McClary

Key filing fact

Andrew McClary filed Form 4 for Azitra Inc (AZTR) on 26 Jun 2023.

Key facts

  • This page summarizes Andrew McClary's Form 4 filing for Azitra Inc (AZTR).
  • 4 reported transactions and 2 derivative rows are listed below.
  • Accepted by SEC: 26 Jun 2023, 06:15.

Change

  • Previous filing in this sequence was filed on 15 Jun 2023.
  • Current net transaction value: -$666,122.

Research use

  • This tells you what this filing adds before you inspect full transaction and derivative tables.
  • You can trace every row back to the original SEC filing document.

Evidence

Filed on Form 4

Ownership activity is grounded in SEC Form 4 disclosures.

View source filing

Reported non-derivative transactions

Shares, units, or other non-derivative securities reported in this filing.

AZTR transaction

Common stock, $0.0001 par value

Conversion of derivative security

Transaction value
Shares
+42,347
Change %
Price
Shares after
42,347
Date
21 Jun 2023
Ownership
See Footnote
Footnotes
F1, F3
AZTR transaction

Common stock, $0.0001 par value

Conversion of derivative security

Transaction value
Shares
+16,975
Change %
Price
Shares after
16,975
Date
21 Jun 2023
Ownership
See Footnote
Footnotes
F2, F3

Reported derivative securities

Options, warrants, convertible securities, or similar derivative positions disclosed in the filing.

AZTR transaction Derivative

Series A-1 Convertible Preferred Stock, par value $0.0001

Conversion of derivative security

Transaction value
$623,685
Shares
-249,474
Change %
-100%
Price
$2.50
Shares after
0
Date
21 Jun 2023
Ownership
See Footnote
Underlying class
Common stock
Underlying amount
42,347
Exercise price
Footnotes
F1, F3, F4
AZTR transaction Derivative

Unsecured convertible note

Conversion of derivative security

Transaction value
$42,437
Shares
Change %
Price
Shares after
0
Date
21 Jun 2023
Ownership
Direct
Underlying class
Common stock
Underlying amount
16,975
Exercise price
Footnotes
F2, F3, F4
* marks a reported price that did not pass the local price check.

Additional SEC filing notes

Filing notes and footnotes

Explanation of responses 4 footnotes

Footnote 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.

Footnote 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.

Footnote F3

The securities are held by KdT Ventures Fund I, LP, of which Mr. McClary is the managing partner.

Footnote F4

Not applicable.

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