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Elicio Therapeutics, Inc. Director's Dealing 2021

Feb 4, 2021

33784_dirs_2021-02-04_0a34f11a-ec98-42d1-a749-b13c5d5b9fd7.zip

Director's Dealing

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SEC Form 3 — Initial Statement of Beneficial Ownership

Issuer: Angion Biomedica Corp. (ANG)
CIK: 0001601485
Period of Report: 2021-02-04

Reporting Person: GANZI VICTOR F (Director)

Holdings (Non-Derivative)

Security Shares Ownership
Common Stock 386664 Direct
Common Stock 155581 Indirect

Holdings (Derivative)

Security Exercise Price Expiration Underlying Shares Ownership
Stock Option (Right to Buy) $9.52 2030-02-13 Common Stock (38895) Direct
Convertible Promissory Note $11.57 Common Stock (18718) Direct
Convertible Promissory Note $11.57 Common Stock (50060) Direct
Warrant to Purchase Common Stock $6.42 2028-07-05 Common Stock (351101) Direct
Warrant to Purchase Common Stock $8.03 2023-08-31 Common Stock (92888) Direct

Footnotes

F1: Reflects a 1-to-1.55583 stock split of the Issuer's outstanding securities effected prior to the effectiveness of the Issuer's S-1 Registration Statement.

F2: Victor F. Ganzi 2012 GST Family Trust.

F3: One thirty-six (1/36th) of the shares subject to the option will vest on each monthly anniversary measured from April 1, 2020 (the "Vesting Commencement Date"), so that 100% of the shares subject to the option will be fully vested and exercisable as of the third anniversary of the Vesting Commencement Date.

F4: The convertible promissory note has a maturity date of May 28, 2021, and the principal and accrued interest will convert immediately prior to the consummation of the IPO into Common Stock at a conversion price equal to $11.57 per share.

F5: The convertible promissory note has a maturity date of August 21, 2021, and the principal and accrued interest will convert immediately prior to the consummation of the IPO into Common Stock at a conversion price equal to $11.57 per share.

F6: The warrants to acquire Common Stock shall automatically net exercise immediately prior to the consummation of the IPO at the public offering price.

F7: The warrant has a net exercise provision under which the holder, in lieu of paying the exercise price in cash, can surrender the warrant and receive a net number of shares of common stock based on the fair market value of such stock at the time of exercise, after deducting the aggregate exercise price.