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Filing Details

Issuer

Cik	Name	Symbol	Sector (SIC)	IRS No
1339005	Femasys Inc	FEMY	Surgical & Medical Instruments & Apparatus (3841)	000000000

Insiders

Cik	Name	Reported Address	Insider Title	Director	Officer	Large Shareholder	Other
1610631	John Dyett	C/O Femasys Inc. 3950 Johns Creek Court, Suite 100 Suwanee GA 30024		No	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	2021-06-18	2,500	$13.18	2,500	No	4	P	Indirect	By IRA
Common Stock	Acquisiton	2021-06-22	948,342	$0.00	948,342	No	4	C	Indirect	By Salem Femasys Investors LLC
Common Stock	Acquisiton	2021-06-22	2,271,453	$0.00	3,219,795	No	4	C	Indirect	By Salem Femasys Investors LLC
Common Stock	Acquisiton	2021-06-18	10,000	$12.88	10,000	No	4	P	Indirect	By the Dyett Family Trust
Common Stock	Acquisiton	2021-06-22	40,000	$13.00	50,000	No	4	P	Indirect	By the Dyett Family Trust
Common Stock	Acquisiton	2021-06-22	63,709	$0.00	113,709	No	4	C	Indirect	By the Dyett Family Trust
Common Stock	Acquisiton	2021-06-23	1,000	$9.95	114,709	No	4	P	Indirect	By the Dyett Family Trust

Equity Swap Involved	Form Type	Code	Nature of Ownership	Explanation
No	4	P	Indirect	By IRA
No	4	C	Indirect	By Salem Femasys Investors LLC
No	4	C	Indirect	By Salem Femasys Investors LLC
No	4	P	Indirect	By the Dyett Family Trust
No	4	P	Indirect	By the Dyett Family Trust
No	4	C	Indirect	By the Dyett Family Trust
No	4	P	Indirect	By the Dyett Family Trust

Reported Derivative Transactions

Sec. Name	Sec. Type	Acquisiton - Disposition	Date	Amount	Price	Amount - 2	Price - 2
Common Stock	Series B Convertible Preferred Stock	Disposition	2021-06-22	948,342	$0.00	948,342	$0.00
Common Stock	Series C Convertible Preferred Stock	Disposition	2021-06-22	2,271,453	$0.00	2,271,453	$0.00
Common Stock	Series C Convertible Preferred Stock	Disposition	2021-06-22	63,709	$0.00	63,709	$0.00

Equity Swap Involved	Transaction Form Type	Transaction Code	Nature of Ownership
No	4	C	Indirect
No	4	C	Indirect
No	4	C	Indirect

Footnotes

948,342 shares of Series B Convertible Preferred Stock were automatically converted into Common Stock in connection with the closing of the Issuer's initial public offering. The Series B Convertible Preferred Stock had no expiration date.
Salem Femasys Investors LLC is a limited liability company consisting of 95 members, as of December 31, 2020. Mr. Dyett, acting as manager for Salem Femasys Investors LLC, has sole voting power over the shares held by Salem Femasys Investors LLC, subject to the vote of members holding more than 50% of the outstanding interests in Salem Femasys Investors LLC, and shares dispositive power over such shares, which powers may be exercised by members holding more than 50% of the outstanding interests in Salem Femasys Investors LLC, with each of the other members. Mr. Dyett disclaims beneficial ownership over the shares held by Salem Femasys Investors LLC, except to the extent of his pecuniary interest therein.
2,271,453 shares of Series C Convertible Preferred Stock were automatically converted into Common Stock in connection with the closing of the Issuer's initial public offering. The Series C Convertible Preferred Stock had no expiration date.
63,709 shares of Series C Convertible Preferred Stock were automatically converted into Common Stock in connection with the closing of the Issuer's initial public offering. The Series C Convertible Preferred Stock had no expiration date.