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Elicio Therapeutics, Inc. Director's Dealing 2021

Feb 4, 2021

33784_dirs_2021-02-04_7ff33af9-6b79-4280-9ca1-ec505456e352.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: Venkatesan Jay (Director, See Remarks)

Holdings (Non-Derivative)

Security Shares Ownership
Common Stock 1068983 Direct

Holdings (Derivative)

Security Exercise Price Expiration Underlying Shares Ownership
Series C Cumulative Convertible Preferred $11.57 Common Stock (164893) Direct
Stock Option (Right to Buy) $5.89 2028-05-01 Common Stock (934400) Direct
Stock Option (Right to Buy) $7.78 2030-06-17 Common Stock (124466) Direct
Warrant to Purchase Common Stock $6.42 2028-07-05 Common Stock (226514) Direct
Warrant to Purchase Common Stock $8.02 2023-08-31 Common Stock (118640) Direct
Convertible Promissory Note $11.57 Common Stock (262) 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: Includes 278,265 Restricted Stock Units ("RSUs"). The Reporting Person is entitled to receive one (1) share of common stock for each one (1) RSU upon the vesting thereof.

F3: Each share of Series C Preferred Stock will automatically convert into 1 share of the issuer's Common Stock immediately prior to the consummation of the issuer's IPO.

F4: 1/48th of the total number of shares vest in forty-eight (48) successive and equal monthly installments measured from June 18, 2020 (the "Vesting Commencement Date"), such that 100% of the shares subject to the option will be fully vested and exercisable on the fourth anniversary of the Vesting Commencement Date.

F5: The warrants to acquire Common Stock shall automatically net exercise immediately prior to the consummation of the IPO at the public offering price.

F6: 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.

F7: The convertible promissory note has a maturity date of August 14, 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.