|4Aug 2, 4:03 PM ET

Gilliland Robertson H. 4

4 · ADIAL PHARMACEUTICALS, INC. · Filed Aug 2, 2018

Insider Transaction Report

Form 4
Period: 2018-07-31
Transactions
  • Purchase

    Warrant to purchase common stock

    2018-07-31+14,00043,931 total(indirect: By LLC)
    Exercise: $6.25From: 2018-07-31Exp: 2023-07-31Common Stock (43,931 underlying)
  • Conversion

    Common Stock

    2018-07-31+29,93195,424 total(indirect: By LLC)
  • Purchase

    Common Stock

    2018-07-31+14,000109,424 total(indirect: By LLC)
  • Conversion

    Convertible Note

    2018-07-3129,9310 total(indirect: By LLC)
    Exercise: $0.44Common Stock (29,931 underlying)
  • Conversion

    Warrant to purchase common stock

    2018-07-31+29,93129,931 total(indirect: By LLC)
    Exercise: $6.25From: 2018-07-31Exp: 2023-07-31Common Stock (29,931 underlying)
Footnotes (3)
  • [F1]The 29,931 shares of common stock and a warrant to purchase 29,931 shares of common stock were issued upon automatic conversion of a convertible note in the principal amount of $10,000 at a conversion price of $0.44 per share upon consummation of the initial public offering of the issuer on July 31, 2018.
  • [F2]Mr. Gilliland is the principal of Keller Enterprises, LLC ("Keller").
  • [F3]On July 31, 2018, Keller purchased 14,000 units (the "Units") in the initial public offering of the issuer at a price of $5.00 per Unit, which corresponds to a price of $4.99 per share of common stock and $0.01 per warrant. Each Unit consisted of one share of common stock and a warrant to purchase one share of common stock. The shares of common stock and warrants were immediately separable upon issuance of the Units in the IPO.

Documents

1 file
  • 4
    ownership.xmlPrimary

    OWNERSHIP DOCUMENT