Filing Details

Accession Number:
0001567619-21-003189
Form Type:
4
Zero Holdings:
No
Publication Time:
2021-02-11 19:22:24
Reporting Period:
2021-02-09
Accepted Time:
2021-02-11 19:22:24
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1601485 Angion Biomedica Corp. ANGN () 4
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1199070 F Victor Ganzi C/O Angion Biomedica Corp.
51 Charles Lindbergh Blvd.
Uniondale NY 11553
Yes No No 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 2021-02-09 18,741 $11.57 405,405 No 4 C Direct
Common Stock Acquisiton 2021-02-09 50,122 $11.57 455,527 No 4 C Direct
Common Stock Acquisiton 2021-02-09 367,590 $6.43 823,117 No 4 X Direct
Common Stock Disposition 2021-02-09 246,720 $16.00 576,397 No 4 S Direct
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 C Direct
No 4 C Direct
No 4 X Direct
No 4 S Direct
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Common Stock Convertible Promissory Note Disposition 2021-02-09 0 $0.00 216,833 $16.00
Common Stock Convertible Promissory Note Disposition 2021-02-09 0 $0.00 0 $16.00
Common Stock Warrant to Purchase Common Stock Disposition 2021-02-09 367,590 $0.00 367,590 $6.43
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
0 No 4 C Direct
0 No 4 C Direct
0 2028-07-05 No 4 X Direct
Reported Non-Derivative Holdings
Sec. Name Remaning Holdings Nature of Ownership Explanation
Common Stock 155,581 Indirect Trust
Footnotes
  1. Victor F. Ganzi 2012 GST Family Trust.
  2. On February 9, 2021 the Reporting Person exercised a warrant to purchase an aggregate of 614,310 shares of the Issuer's common stock for $16.00 a share, which represents the Issuer's IPO price. In connection with the automatic net exercise of the warrant immediately prior to the closing of the Issuer's IPO, the Issuer withheld 246,720 of the warrant shares to pay the exercise price and issued the remaining 367,590 shares of common stock to Reporting Person.
  3. The convertible promissory note converted immediately prior to the consummation of the IPO into Common Stock.
  4. The convertible promissory note ("Convertible Note") had a maturity date of May 28, 2021 and the principal amount of the Convertible Note converted upon the closing of the IPO into Common Shares at a conversion price equal to $18.00 per Common Share.
  5. The convertible promissory note ("Convertible Note") had a maturity date of August 21, 2021 and the principal amount of the Convertible Note converted upon the closing of the IPO into Common Shares at a conversion price equal to $18.00 per Common Share.