Filing Details
- Accession Number:
- 0001213900-18-010095
- Form Type:
- 4
- Zero Holdings:
- No
- Publication Time:
- 2018-08-02 16:14:33
- Reporting Period:
- 2018-07-31
- Accepted Time:
- 2018-08-02 16:14:33
- SEC Url:
- Form 4 Filing
Issuer
Cik | Name | Symbol | Sector (SIC) | IRS No |
---|---|---|---|---|
1513525 | Adial Pharmaceuticals Inc. | ADIL | Pharmaceutical Preparations (2834) | 800667150 |
Insiders
Cik | Name | Reported Address | Insider Title | Director | Officer | Large Shareholder | Other |
---|---|---|---|---|---|---|---|
1718069 | Iii B. William Stilley | 1180 Seminole Trail, Suite 495 Charlottesville, VA 22901 | Chief Executive Officer | Yes | Yes | Yes | No |
Reported Non-Derivative Transactions
Sec. Name | Acquisiton - Disposition | Date | Amount | Price | Remaning Holdings | Equity Swap Involved | Form Type | Code | Nature of Ownership | Explanation |
---|---|---|---|---|---|---|---|---|---|---|
Common Stock | Acquisiton | 2018-07-31 | 36,800 | $0.00 | 372,402 | No | 4 | J | Direct | |
Common Stock | Acquisiton | 2018-07-31 | 52,227 | $0.00 | 424,629 | No | 4 | C | Direct | |
Common Stock | Acquisiton | 2018-07-31 | 80,000 | $0.00 | 504,000 | No | 4 | P | Direct |
Equity Swap Involved | Form Type | Code | Nature of Ownership | Explanation |
---|---|---|---|---|
No | 4 | J | Direct | |
No | 4 | C | Direct | |
No | 4 | P | Direct |
Reported Derivative Transactions
Sec. Name | Sec. Type | Acquisiton - Disposition | Date | Amount | Price | Amount - 2 | Price - 2 |
---|---|---|---|---|---|---|---|
Common Stock | Convertible Note | Disposition | 2018-07-31 | 52,227 | $0.00 | 52,227 | $0.44 |
Common Stock | Warrant to purchase common stock | Acquisiton | 2018-07-31 | 36,800 | $0.00 | 36,800 | $6.25 |
Common Stock | Warrant to purchase common stock | Acquisiton | 2018-07-31 | 52,227 | $0.00 | 52,227 | $6.25 |
Units | Warrant to purchase units | Acquisiton | 2018-07-31 | 36,800 | $0.00 | 73,600 | $5.00 |
Common Stock | Warrant to purchase common stock | Acquisiton | 2018-07-31 | 80,000 | $0.00 | 80,000 | $6.25 |
Remaning Holdings | Exercise Date | Expiration Date | Equity Swap Involved | Transaction Form Type | Transaction Code | Nature of Ownership |
---|---|---|---|---|---|---|
0 | No | 4 | C | Direct | ||
36,800 | 2018-07-31 | 2023-07-31 | No | 4 | J | Direct |
89,027 | No | 4 | C | Direct | ||
36,800 | 2018-07-31 | 2023-07-31 | No | 4 | J | Direct |
169,027 | 2018-07-31 | 2023-07-31 | No | 4 | P | Direct |
Reported Non-Derivative Holdings
Sec. Name | Remaning Holdings | Nature of Ownership | Explanation |
---|---|---|---|
Common Stock | 132,141 | Indirect | Owned jointly by Mr. Stilley and his wife, Anne T. Stilley |
Footnotes
- The 36,800 shares of common stock and warrant to purchase 36,800 shares of common stock were received by the reporting person upon consummation of the initial public offering on July 31, 2018 in accordance with a Securities Purchase Agreement dated February 22, 2018.
- The 52,227 shares of common stock and a warrant to purchase 52,227 shares of common stock were issued upon automatic conversion of a convertible note in the principal amount of $17,449 together with interest accrued thereon at a conversion price of $0.44 per share upon consummation of the initial public offering.
- On July 31, 2018, Mr. Stilley purchased 80,000 units (the "Units") in the initial public offering at a price of $5.00 per Unit, which corresponds to a price of $4.99 per share of common stock and $0.01 per warrant. Each Unit consisted of one share of common stock and a warrant to purchase one share of common stock. The shares of common stock and warrants were immediately separable upon issuance of the Units in the initial public offering.
- The warrant to purchase 36,800 units was received by the reporting person upon consummation of the initial public offering in accordance with a Securities Purchase Agreement dated February 22, 2018. Each unit consisted of a share of common stock and a warrant to purchase a share of common stock. The aggregate number of shares of common stock included in the units and underlying the warrants included in the units is 73,600 shares.