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PAVmed Inc. Director's Dealing 2016

Jan 29, 2016

35221_dirs_2016-01-29_675b3a9a-7e86-43fe-a1c1-8c8ba015fdb6.zip

Director's Dealing

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SEC Form 3 — Initial Statement of Beneficial Ownership

Issuer: PAVmed Inc. (PAVM)
CIK: 0001624326
Period of Report: 2016-01-29

Reporting Person: Aklog Lishan (Director, Chiarman and CEO, 10% Owner)
Reporting Person: HCFP/Capital Partners III LLC (10% Owner)
Reporting Person: Pavilion Venture Partners LLC (10% Owner)

Holdings (Non-Derivative)

Security Shares Ownership
Common Stock 5713879 Indirect
Common Stock 2508532 Indirect

Holdings (Derivative)

Security Exercise Price Expiration Underlying Shares Ownership
Warrant $5.00 2021-11-25 Common Stock (5713879) Indirect
Warrant $5.00 2021-11-25 Common Stock (2508532) Indirect

Footnotes

F1: Dr. Aklog is a member and a co-manager of HCFP/Capital Partners III, and shares joint voting and dispositive power over the shares held by this entity. Dr. Aklog a disclaims beneficial ownership of shares held by this entity, except to the extent of his proportionate pecuniary interest therein

F2: Dr. Aklog is a member and sole manager of Pavilion Venture Partners LLC and has sole voting and dispositive power over the shares held by this entity. Dr. Aklog disclaims beneficial ownership of shares held by this entity, except to the extent of his proportionate pecuniary interest therein.

F3: The warrants will be exercisable commencing 6 months from the consummation of the Issuer's initial public offering.