Rafael Holdings Inc.

07/22/2025 | Press release | Distributed by Public on 07/22/2025 13:53

Initial Statement of Beneficial Ownership (Form 3)

FORM 3
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF 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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(Print or Type Responses)
1. Name and Address of Reporting Person *
FINE N SCOTT
2. Date of Event Requiring Statement (Month/Day/Year)
07/14/2025
3. Issuer Name and Ticker or Trading Symbol
Rafael Holdings, Inc. [RFL]
(Last) (First) (Middle)
C/O RAFAEL HOLDINGS, INC., 520 BROAD STREET
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
__X__ Director _____ 10% Owner
_____ Officer (give title below) _____ Other (specify below)
5. If Amendment, Date Original Filed (Month/Day/Year)
(Street)
NEWARK, NJ 07102
6. Individual or Joint/Group Filing (Check Applicable Line)
_X_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
(City) (State) (Zip)
Table I - Non-Derivative Securities Beneficially Owned
1.Title of Security
(Instr. 4)
2. Amount of Securities Beneficially Owned
(Instr. 4)
3. Ownership Form: Direct (D) or Indirect (I)
(Instr. 5)
4. Nature of Indirect Beneficial Ownership
(Instr. 5)
Class B Common Stock, par value $.01 per share 335,348(1)(2) D
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. SEC 1473 (7-02)
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.
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security
(Instr. 4)
2. Date Exercisable and Expiration Date
(Month/Day/Year)
3. Title and Amount of Securities Underlying Derivative Security
(Instr. 4)
4. Conversion or Exercise Price of Derivative Security 5. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 5)
6. Nature of Indirect Beneficial Ownership
(Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Stock Option (right to buy) 08/30/2021 08/30/2031 Class B Common Stock 20,197(2) $21.16 D
Stock Option (right to buy) 02/28/2022 02/28/2032 Class B Common Stock 26,403(2) $9.25 D
Stock Option (right to buy) 03/02/2023 03/01/2033 Class B Common Stock 34,792(2) $3.63 D
Stock Option (right to buy) 06/03/2024 06/03/2034 Class B Common Stock 93,884(2) $3.63 D
Stock Option (right to buy) 03/25/2025 03/25/2035 Class B Common Stock 80,000 $1.9 D
Class B Common Stock Warrant (Right to Buy) 12/21/2018 12/21/2025 Class B Common Stock 813(2)(3) $184.1 D
Class B Common Stock Warrant (Right to Buy) 08/27/2020 08/27/2027 Class B Common Stock 1,763(2)(3) $42.56 D
Class B Common Stock Warrant (Right to Buy) 10/20/2023 10/20/2027 Class B Common Stock 116,093(2)(3) $2.7 D

Reporting Owners

Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
FINE N SCOTT
C/O RAFAEL HOLDINGS, INC.
520 BROAD STREET
NEWARK, NJ 07102
X

Signatures

Joyce J. Mason, by Power of Attorney 07/22/2025
**Signature of Reporting Person Date

Explanation of Responses:

* If the form is filed by more than one reporting person, see Instruction 5(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) Consists of 331,823 shares of Class B common stock held directly by the Reporting Person and 3,525 shares of Class B common stock held jointly by the Reporting Person and his wife.
(2) The shares, options and warrants were all received in exchange for shares, options and warrants, respectively, of Cyclo Therapeutics, Inc. ("Cyclo") common stock and upon conversion of options and warrants to purchase shares of Cyclo common stock in connection with the business combination between the Issuer and Cyclo on March 25, 2025.
(3) These warrants are held jointly by the Reporting Person and his wife.
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, See Instruction 6 for procedure. Potential persons who are to respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB number.
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