Filing Details

Accession Number:
0001140361-21-022194
Form Type:
4
Zero Holdings:
No
Publication Time:
2021-06-24 16:53:07
Reporting Period:
2021-06-22
Accepted Time:
2021-06-24 16:53:07
SEC Url:
Form 4 Filing
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
1857458 Charles Larsen 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 2021-06-22 7,000 $13.00 7,000 No 4 P Direct
Common Stock Acquisiton 2021-06-22 10,587 $0.00 17,587 No 4 C Direct
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 P Direct
No 4 C Direct
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Common Stock Series C Convertible Preferred Stock Disposition 2021-06-22 10,587 $0.00 10,587 $0.00
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
0 No 4 C Direct
Footnotes
  1. 10,587 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.