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Filing Details

Issuer

Cik	Name	Symbol	Sector (SIC)	IRS No
1904286	Mira Pharmaceuticals Inc.	MIRA	Pharmaceutical Preparations (2834)	853354547

Insiders

Cik	Name	Reported Address	Insider Title	Director	Officer	Large Shareholder	Other
1986372	George Cappy	C/O Mira Pharmaceuticals, Inc. 900 West Platt Street, Suite 200 Tampa FL 33606-2173		No	No	No	No
1986593	Trust Shore Bay	C/O Mira Pharmaceuticals, Inc. 900 West Platt Street, Suite 200 Tampa FL 33606-2173		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	2023-08-02	157,170	$7.00	2,740,270	No	4	P	Indirect	By Trust

Equity Swap Involved	Form Type	Code	Nature of Ownership	Explanation
No	4	P	Indirect	By Trust

Reported Non-Derivative Holdings

Sec. Name	Remaning Holdings	Nature of Ownership	Explanation
Common Stock	20,000	Direct

Reported Derivative Holdings

Sec. Name	Sec. Type	Price	Date	Expiration Date	Amount	Remaning Holdings	Nature of Ownership
Common Stock	Common Stock Warrant (right to buy)	$5.00	2023-04-28	2028-04-28	1,000,000	1,000,000	Indirect

Expiration Date	Amount	Remaning Holdings	Nature of Ownership
2028-04-28	1,000,000	1,000,000	Indirect

Footnotes

Represents the acquisition of shares of common stock by the Bay Shore Trust (the "Trust") through the conversion of an aggregate of $1,100,190 of indebtedness owing by the Issuer to the Trust, with such conversion occurring on the date of the Issuer's initial public offering at a conversion price of $7.00 per share.
These securities are owned directly by the Trust, a greater-than-10% owner of the Issuer. As sole trustee of the Trust, George Cappy ("Mr. Cappy") has sole ownership and dispositive power over these securities and is therefore deemed to be an indirect beneficial owner of the securities for purposes of SEC Rule 13d-3, although Mr. Cappy disclaims beneficial ownership of the reported securities due to the absence of any pecuniary interest therein.
These securities are owned directly by Mr. Cappy.