Filing Details

Accession Number:
0001193125-23-037957
Form Type:
13G Filing
Publication Date:
2023-02-13 19:00:00
Filed By:
Gryaznov Sergei
Company:
Maia Biotechnology Inc. (NYSE:MAIA)
Filing Date:
2023-02-14
SEC Url:
13G Filing
Ownership Summary

Please notice the below summary table is generated without human intervention and may contain errors. Please refer to the complete filing displayed below for exact figures.

Name Sole Voting Power Shared Voting Power Sole Dispositive Power Shared Dispositive Power Aggregate Amount Owned Power Percent of Class
Sergei M. Gryaznov 906,493 0 906,493 0 906,493 7.66%
Filing

 

 

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 

 

SCHEDULE 13G

(Amendment No.    )

(Rule 13d-102)

INFORMATION TO BE INCLUDED IN STATEMENTS FILED PURSUANT

TO RULES 13d-1(b), (c) AND (d) AND AMENDMENTS THERETO FILED

PURSUANT TO §240.13d-2

 

 

MAIA BIOTECHNOLOGY, INC.

(Name of Issuer)

Common Stock, $0.0001 par value

(Title of Class of Securities)

552641 102

(CUSIP Number)

December 31, 2022

(Date of Event which Requires Filing of this Statement)

 

 

Check the appropriate box to designate the rule pursuant to which this Schedule is filed:

☐ Rule 13d-1 (b)

☐ Rule 13d-1 (c)

☒ Rule 13d-1 (d)

 

*

The remainder of this cover page shall be filled out for a reporting persons initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter the disclosures provided in a prior cover page.

The information required in the remainder of this cover page shall not be deemed to be filed for the purpose of Section 18 of the Securities Exchange Act of 1934 (Act) or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes).

(Continued on following page(s))

Page 1 of 6 Pages

 

 

 


CUSIP No. 552641 102    13G    Page 2 of 6 Pages

 

  1    

  NAME OF REPORTING PERSON

 

  Sergei M. Gryaznov

  2  

  CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*

  (a)  ☐        (b)  ☐

 

  3  

  SEC USE ONLY

 

  4  

  CITIZENSHIP OR PLACE OF ORGANIZATION

 

  United States

NUMBER OF

SHARES

 BENEFICIALLY 

OWNED BY

EACH

REPORTING

PERSON

WITH

   5    

  SOLE VOTING POWER

 

  906,493

   6  

  SHARED VOTING POWER

 

  0

   7  

  SOLE DISPOSITIVE POWER

 

  906,493

   8  

  SHARED DISPOSITIVE POWER

 

  0

  9    

  AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON

 

  906,493(1)

10  

  CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES*

 

  ☐

11  

  PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)

 

  7.66%

12  

  TYPE OF REPORTING PERSON*

 

  IN

 

(1)

Consists of 906,493 shares including: (i) 44,511 shares of common stock and (ii) 861,982 shares of common stock issuable upon the exercise of stock options.


CUSIP No. 552641 102    13G    Page 3 of 6 Pages

 

Explanatory Note

Item 1.

 

  (a)

Name of Issuer: MAIA Biotechnology, Inc.

 

  (b)

Address of Issuers Principal Executive Offices:

444 West Lake Street, Suite 1700, Chicago, IL 60606

Item 2.

 

  (a)

Name of Person Filing:

This statement is filed by: Sergei M. Gryaznov

(b) Address of Principal Business Office or if none, Residence: 444 West Lake Street, Suite 1700, Chicago, IL 60606

 

  (c)

Citizenship: United States

 

  (d)

Title of Class of Securities: Common Stock, $0.0001 par value

 

  (e)

CUSIP Number: 552641 102

 

Item 3.

Not Applicable

 

Item 4.

Ownership.

 

  (a)

Amount Beneficially Owned:

906,493 shares including: (i) 44,511 shares of common stock and (ii) 861,982 shares of common stock issuable upon the exercise of stock options.


CUSIP No. 552641 102    13G    Page 4 of 6 Pages

 

  (b)

Percent of Class:

7.66%

The foregoing percentage is based on 10,973,904 shares of common stock of the issuer as reported on the issuers Registration Statement on Form S-1 filed with the Securities and Exchange Commission on February 6, 2023, plus 861,982 shares of common stock issuable upon the exercise of stock options exercisable within 60 days of December 31, 2022.

 

  (c)

Number of shares as to which such person has:

 

  (i)

sole power to vote or to direct the vote:

906,493 shares including: (i) 44,511 shares of common stock and (ii) 861,982 shares of common stock issuable upon the exercise of stock options.

 

  (ii)

shared power to vote or to direct the vote:

0.

 

  (iii)

sole power to dispose or to direct the disposition of:

906,493 shares including: (i) 44,511 shares of common stock and (ii) 861,982 shares of common stock issuable upon the exercise of stock options.

 

  (iv)

shared power to dispose or to direct the disposition of:

0.


CUSIP No. 552641 102    13G    Page 5 of 6 Pages

 

Item 5.

Ownership of Five Percent or Less of a Class:If this statement is being filed to report the fact that as of the date hereof the reporting person has ceased to be the beneficial owner of more than 5 percent of the class of securities, check the following  ☐.

 

Item 6.

Ownership of More than Five Percent on Behalf of Another Person: Not Applicable

 

Item 7.

Identification and Classification of Subsidiary Which Acquired the Securities: Not Applicable

 

Item 8.

Identification and Classification of Members of the Group: Not Applicable

 

Item 9.

Notice of Dissolution of Group: Not Applicable

 

Item 10.

Not Applicable


CUSIP No. 552641 102    13G    Page 6 of 6 Pages

 

SIGNATURE

After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct.

February 14, 2023

 

By:  

/s/ Sergei M. Gryaznov

Name:   Sergei M. Gryaznov

The original statement shall be signed by each person on whose behalf the statement is filed or his authorized representative. If the statement is signed on behalf of a person by his authorized representative other than an executive officer or general partner of the filing person, evidence of the representatives authority to sign on behalf of such person shall be filed with the statement, Provided, however, That a power of attorney for this purpose which is already on file with the Commission may be incorporated by reference. The name and any title of each person who signs the statement shall be typed or printed beneath his signature.