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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
1856775	Jr Q John Adams	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
Common Stock	Acquisiton	2021-06-22	40,000	$13.00	40,000	No	4	P	Direct
Common Stock	Acquisiton	2021-06-22	91,245	$0.00	131,245	No	4	C	Direct
Common Stock	Acquisiton	2021-06-22	108,693	$0.00	239,938	No	4	C	Direct

Equity Swap Involved	Form Type	Code	Nature of Ownership
No	4	P	Direct
No	4	C	Direct
No	4	C	Direct

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	91,245	$0.00	91,245	$0.00
Common Stock	Series C Convertible Preferred Stock	Disposition	2021-06-22	108,693	$0.00	108,693	$0.00

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

Footnotes

91,245 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.
108,693 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.