FEMASYS INC — Director's Dealing 2021

Jun 18, 2021

SEC Form 3 — Initial Statement of Beneficial Ownership

Issuer: FEMASYS INC (FEMY)
CIK: 0001339005
Period of Report: 2021-06-17

Reporting Person: Uzialko Edward R (N/A)

Holdings (Non-Derivative)

Security	Shares	Ownership
Common Stock	27786	Direct

Holdings (Derivative)

Security	Exercise Price	Expiration	Underlying	Shares	Ownership
Series A Convertible Preferred Stock	$		Common Stock (1059445)		Direct
Series B Convertible Preferred Stock	$		Common Stock (30175)		Indirect
Warrants (Right to Buy)	$31.5		Common Stock (19048)		Direct
Warrants (Right to Buy)	$31.5		Common Stock (4762)		Direct

Footnotes

F1: Shares of Series A Convertible Preferred Stock are convertible at any time at the holder's election, without payment of additional consideration. Such shares have no expiration date but are expected to convert into Common Stock automatically upon the closing of the Issuer's initial public offering.

F2: Shares of Series B Convertible Preferred Stock are convertible at any time at the holder's election, without payment of additional consideration. Such shares have no expiration date but are expected to convert into Common Stock automatically upon the closing of the Issuer's initial public offering.

F3: Each warrant is exercisable by the holder in whole or part at any time and from time to time on or before March 31, 2024.

F4: Each warrant is exercisable by the holder in whole or part at any time and from time to time on or before April 8, 2024.