04/07/2025 | Press release | Distributed by Public on 04/07/2025 17:16
FORM 4
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. | SEC 1474 (9-02) |
1. Title of Derivative Security (Instr. 3) |
2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) |
4. Transaction Code (Instr. 8) |
5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4, and 5) |
6. Date Exercisable and Expiration Date (Month/Day/Year) |
7. Title and Amount of Underlying Securities (Instr. 3 and 4) |
8. Price of Derivative Security (Instr. 5) |
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) |
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Series C Voting Convertible Preferred Stock(1) | $1 | 04/03/2025 | J(1) | 536,959(2) | 04/03/2025 | (3) | Common Stock | 536,959 | $ 0 (1) | 0 | I | By Self as proxy and power of attorney for Spartan and an Affiliate (each as defined below)(1) | |||
Common Stock Purchase Warrants(1) | $1 | 04/03/2025 | J(1) | 125,833(2) | 02/28/2025 | 02/28/2030 | Common Stock | 125,833 | $ 0 (1) | 0 | I | By Self as proxy and power of attorney for Spartan and an Affiliate(1) | |||
Common Stock Purchase Warrants(1) | $1 | 04/03/2025 | J(1) | 28,924(2) | 03/10/2025 | 03/10/2030 | Common Stock | 28,924 | $ 0 (1) | 0 | I | By Self as proxy and power of attorney for Spartan and an Affiliate(1) | |||
Common Stock Purchase Warrants(1) | $1 | 04/03/2025 | J(1) | 4,060(2) | 03/13/2025 | 03/13/2030 | Common Stock | 4,060 | $ 0 (1) | 0 | I | By Self as proxy and power of attorney for Spartan and an Affiliate(1) |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Kaufman Jonathan H C/O LIPELLA PHARMACEUTICALS INC. 7800 SUSQUEHANNA ST., SUITE 505 PITTSBURGH, PA 15208 |
X | X | See remarks below. |
/s/ Jonathan H. Kaufman | 04/07/2025 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 4(b)(v). |
** | Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
(1) | Such Series C Voting Convertible Preferred Stock, par value $0.0001 per share ("Preferred Stock"), and the common stock, par value $0.0001 per share, of the issuer ("Common Stock"), issuable upon conversion of Preferred Stock ("Conversion Shares") and exercise of the Common Stock purchase warrants (the "Warrant Shares", and collectively with the Preferred Stock and Conversion Shares, "Securities") were subject to an irrevocable proxy and power of attorney, effective December 20, 2024, between the reporting person and Spartan Capital Securities, LLC ("Spartan"), pursuant to which the reporting person had voting power over all Securities held by Spartan and its Affiliates (defined under Rule 405 of the Securities Act of 1933, as amended) or any person or entity acting as a group therewith ("Proxy and POA"). |
(2) | Upon the effectiveness of a registration statement registering the Warrant Shares and Conversion Shares as of April 3, 2025, such voting power granted to the reporting person over the Securities by Spartan and such Affiliates was terminated. Please see the Proxy and POA attached as Exhibit 24 to the Form 4 filed by the reporting person with the U.S. Securities and Exchange Commission on March 17, 2025. |
(3) | The conversion rights of the Preferred Stock do not expire. |
Remarks: President, Chief Executive Officer, Secretary, Treasurer, and Chairman of the Board of Directors |