SEC Form 4 · accession 0001213900-18-015557
ADIAL PHARMACEUTICALS, INC. · ADIL
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Kevin Schuyler
Director · 10% Owner
Period of report
Nov 12, 2018
Accepted (ET)
Nov 13, 2018 · 6:49 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001513525
Table I — non-derivative securities
No Table I lines on this filing.
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Warrant to purchase unitsF1 | $5.00 | Nov 12, 2018 | J | 120,000 | D | Jul 31, 2018 | Jul 31, 2023 | Units | 240,000 | 0 | D |
| Warrant to purchase common stockF1 | $5.00 | Nov 12, 2018 | J | 120,000 | A | Nov 12, 2018 | Jul 31, 2023 | Common Stock | 120,000 | 120,000 | D |
| Warrant to purchase common stockF1 | $6.25 | Nov 12, 2018 | J | 120,000 | A | Nov 12, 2018 | Jul 31, 2023 | Common Stock | 120,000 | 120,000 | D |
| Warrant to purchase unitsF2 | $5.00 | Nov 12, 2018 | J | 162,200 | D | Jul 31, 2018 | Jul 31, 2023 | Units | 324,400 | 0 | I |
| Warrant to purchase common stockF2 | $5.00 | Nov 12, 2018 | J | 162,200 | A | Nov 12, 2018 | Jul 31, 2023 | Common Stock | 162,200 | 162,200 | I |
| Warrant to purchase common stockF2 | $6.25 | Nov 12, 2018 | J | 162,200 | A | Nov 12, 2018 | Jul 31, 2023 | Common Stock | 162,200 | 162,200 | I |
Explanation of responses
- F1On November 12, 2018, Mr. Schuyler exchanged a warrant to purchase 120,000 units, each unit consisting of a share of common stock and a warrant to purchase a share of common stock, for two separate warrants to purchase 120,000 shares of common stock.
- F2On November 12, 2018, MVA 151 Investors LLC exchanged a warrant to purchase 162,200 units, each unit consisting of a share of common stock and a warrant to purchase a share of common stock, for two separate warrants to purchase 162,200 shares of common stock. Mr. Schuyler has control over MVA 151 Investors LLC.