SEC Form 4
FORM 4 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP 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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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). |
1. Name and Address of Reporting Person*
(Street)
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2. Issuer Name and Ticker or Trading Symbol
Azitra Inc [ AZTR ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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3. Date of Earliest Transaction
(Month/Day/Year) 06/21/2023 | ||||||||||||||||||||||||||
4. If Amendment, Date of Original Filed
(Month/Day/Year) |
6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | ||||||||||
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1. Title of Security (Instr. 3) | 2. Transaction Date (Month/Day/Year) | 2A. Deemed Execution Date, if any (Month/Day/Year) | 3. Transaction Code (Instr. 8) | 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) | 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) | 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 7. Nature of Indirect Beneficial Ownership (Instr. 4) | |||
Code | V | Amount | (A) or (D) | Price | ||||||
Convertible Notes | 06/21/2023 | S | 77,953 | D | (1) | 0 | I | Directly held by Bios Fund III, LP(2)(3) | ||
Common Stock | 06/21/2023 | P | 197,701 | A | (1) | 197,701 | I | Directly held by Bios Fund III, LP(2)(3) | ||
Common Stock | 06/21/2023 | P | 69,880 | A | $5 | 267,581 | I | Directly held by Bios Fund III, LP(2)(3) | ||
Common Stock | 06/21/2023 | C | 137,186 | A | (4) | 404,767 | I | Directly held by Bios Fund III, LP(2)(3) | ||
Convertible Notes | 06/21/2023 | S | 509,141 | D | (1) | 0 | I | Directly held by Bios Fund III QP, LP(2)(3) | ||
Common Stock | 06/21/2023 | P | 1,291,258 | A | (1) | 1,291,258 | I | Directly held by Bios Fund III QP, LP(2)(3) | ||
Common Stock | 06/21/2023 | P | 456,412 | A | $5 | 1,747,670 | I | Directly held by Bios Fund III QP, LP(2)(3) | ||
Common Stock | 06/21/2023 | C | 896,035 | A | (4) | 2,643,705 | I | Directly held by Bios Fund III QP, LP(2)(3) | ||
Convertible Notes | 06/21/2023 | S | 82,223 | D | (1) | 0 | I | Directly held by Bios Fund III NT, LP(2)(3) | ||
Common Stock | 06/21/2023 | P | 208,531 | A | (1) | 208,531 | I | Directly held by Bios Fund III NT, LP(2)(3) | ||
Common Stock | 06/21/2023 | P | 73,708 | A | $5 | 282,239 | I | Directly held by Bios Fund III NT, LP(2)(3) | ||
Common Stock | 06/21/2023 | C | 144,705 | A | (4) | 426,944 | I | Directly held by Bios Fund III NT, LP(2)(3) | ||
Common Stock | 06/21/2023 | C | 467,613 | A | (5) | 467,613 | I | Directly held by Bios Fund I QP, LP(2)(3) | ||
Common Stock | 06/21/2023 | C | 799,467 | A | (5) | 799,467 | I | Directly held by Bios Fund I, LP(2)(3) | ||
Common Stock | 06/21/2023 | C | 255,503 | A | (6) | 255,503 | I | Directly held by Bios Fund II, LP(2)(3) | ||
Common Stock | 06/21/2023 | C | 57,747 | A | (4) | 313,250 | I | Directly held by Bios Fund II, LP(2)(3) | ||
Common Stock | 06/21/2023 | C | 834,632 | A | (6) | 834,632 | I | Directly held by Bios Fund II QP, LP(2)(3) | ||
Common Stock | 06/21/2023 | C | 188,810 | A | (4) | 1,023,442 | I | Directly held by Bios Fund II QP, LP(2)(3) | ||
Common Stock | 06/21/2023 | C | 111,720 | A | (6) | 111,720 | I | Directly held by Bios Fund II NT, LP(2)(3) | ||
Common Stock | 06/21/2023 | C | 25,280 | A | (4) | 137,000 | I | Directly held by Bios Fund II NT, LP(2)(3) | ||
Common Stock | 06/21/2023 | C | 436,173 | A | (6) | 436,173 | I | Directly held by Bios Azitra Co-Invest I, LP(2)(3) | ||
Common Stock | 13,106 | I | Directly held by KF Legacy Trust(7) | |||||||
Common Stock | 13,106 | I | Directly held by MF Legacy Trust(7) | |||||||
Common Stock | 135,808 | D |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||||||||||
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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 Securities Underlying Derivative Security (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: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) | ||||
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Series B Convertible Preferred Stock | (4) | 06/21/2023 | C | 123,718 | (4) | (4) | Common Stock | 123,718 | $0 | 0 | I | Directly held by Bios Fund III, LP(2)(3) | |||
Series B Convertible Preferred Stock | (4) | 06/21/2023 | C | 808,058 | (4) | (4) | Common Stock | 808,058 | $0 | 0 | I | Directly held by Bios Fund III QP, LP(2)(3) | |||
Series B Convertible Preferred Stock | (4) | 06/21/2023 | C | 130,498 | (4) | (4) | Common Stock | 130,498 | $0 | 0 | I | Directly held by Bios Fund III NT, LP(2)(3) | |||
Series A Convertible Preferred Stock | (5) | 06/21/2023 | C | 467,613 | (5) | (5) | Common Stock | 467,613 | $0 | 0 | I | Directly held by Bios Fund I QP, LP(2)(3) | |||
Series A Convertible Preferred Stock | (5) | 06/21/2023 | C | 799,467 | (5) | (5) | Common Stock | 799,467 | $0 | 0 | I | Directly held by Bios Fund I, LP(2)(3) | |||
Series A-1 Convertible Preferred Stock | (6) | 06/21/2023 | C | 232,908 | (6) | (6) | Common Stock | 232,908 | $0 | 0 | I | Directly held by Bios Fund II, LP(2)(3) | |||
Series B Convertible Preferred Stock | (4) | 06/21/2023 | C | 52,078 | (4) | (4) | Common Stock | 52,078 | $0 | 0 | I | Directly held by Bios Fund II, LP(2)(3) | |||
Series A-1 Convertible Preferred Stock | (6) | 06/21/2023 | C | 412,389 | (6) | (6) | Common Stock | 412,389 | $0 | 0 | I | Directly held by Bios Fund II QP, LP(2)(3) | |||
Series B Convertible Preferred Stock | (4) | 06/21/2023 | C | 170,272 | (4) | (4) | Common Stock | 170,272 | $0 | 0 | I | Directly held by Bios Fund II QP, LP(2)(3) | |||
Series A-1 Convertible Preferred Stock | (6) | 06/21/2023 | C | 101,842 | (6) | (6) | Common Stock | 101,842 | $0 | 0 | I | Directly held by Bios Fund II NT, LP(2)(3) | |||
Series B Convertible Preferred Stock | (4) | 06/21/2023 | C | 22,798 | (4) | (4) | Common Stock | 22,798 | $0 | 0 | I | Directly held by Bios Fund II NT, LP(2)(3) | |||
Series A-1 Convertible Preferred Stock | (6) | 06/21/2023 | C | 397,600 | (6) | (6) | Common Stock | 397,600 | $0 | 0 | I | Directly held by Bios Azitra Co-Invest I, LP(2)(3) |
1. Name and Address of Reporting Person*
(Street)
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1. Name and Address of Reporting Person*
(Street)
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1. Name and Address of Reporting Person*
(Street)
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1. Name and Address of Reporting Person*
(Street)
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1. Name and Address of Reporting Person*
(Street)
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1. Name and Address of Reporting Person*
(Street)
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1. Name and Address of Reporting Person*
(Street)
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1. Name and Address of Reporting Person*
(Street)
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Explanation of Responses: |
1. The convertible note automatically converted into shares of common stock of the Issuer upon the closing of the Issuer's initial public offering ("IPO") at a conversion price equal to $2.50 per share. |
2. Bios Equity Partners, LP ("Bios Equity I") is the general partner of the following entities: Bios Fund I, LP ("Bios Fund I") and Bios Fund I QP, LP ("Bios Fund I QP"). Bios Equity Partners II, LP ("Bios Equity II") is the general partner of Bios Fund II, LP ("Bios Fund II"), Bios Fund II QP, LP ("Bios Fund II QP"), Bios Fund II NT, LP ("Bios Fund II NT") and Bios Azitra Co-invest I, LP ("Bios Azitra Co-invest"). Bios Equity Partners III, LP ("Bios Equity III") is the general partner of the following entities: Bios Fund III, LP ("Bios Fund III"), Bios Fund III QP, LP ("Bios Fund III QP") and Bios Fund III NT, LP ("Bios Fund III NT"). Cavu Management, LP, an entity managed and controlled by Mr. Les Kreis, and Bios Capital Management, LP, an entity managed and controlled by Mr. Aaron Fletcher, are the general partners of Bios Equity I, Bios Equity II and Bios Equity III. Cavu Advisors LLC, an entity that is managed and controlled by Mr. Kreis, is the general partner of Cavu Management LP. |
3. Bios Advisors GP, LLC, an entity that is managed and controlled by Mr. Fletcher, is the general partner of Bios Capital Management, LP. The shares owned by Bios Fund I, Bios Fund I QP, Bios Fund II, Bios Fund II QP, Bios Fund II NT, Bios Fund III, Bios Fund III QP, Bios Fund III NT and Bios Azitra Co-invest (collectively, the "Bios Equity Entities") are aggregated for purposes of reporting share ownership information. Mr. Kreis and Mr. Fletcher share voting and investment control with respect to shares held by the Bios Equity Entities. |
4. Each share of Series B Convertible Preferred Stock automatically converted into shares of common stock of the Issuer upon the closing of the Issuer's IPO at a conversion price equal to approximately $1.11 per share, after making certain anti-dilution adjustments. The Series B Convertible Preferred Stock had no expiration date |
5. Each share of Series A Convertible Preferred Stock automatically converted into one share of common stock of the Issuer upon the closing of the Issuer's IPO. The Series A Convertible Preferred Stock had no expiration date. |
6. Each share of Series A-1 Convertible Preferred Stock automatically converted into shares of common stock of the Issuer upon the closing of the Issuer's IPO at a conversion price equal to approximately $1.10 per share, after making certain anti-dilution adjustments. The Series A-1 Convertible Preferred Stock had no expiration date. |
7. Shares are held in a trust for the benefit of Mr. Fletcher's children. Mr. Fletcher and his spouse serve as the trustees of the trust. |
Remarks: |
This Form 4 is the first of two Forms 4 filed relating to the same event. The Form 4 has been split into two filings because there are more than 10 reporting persons in total, and the SEC's EDGAR filing system limits a single Form 4 to a maximum of 10 reporting persons. The first Form 4 was filed by Leslie W. Kreis as the designated filer. |
/s/ Aaron G.L. Fletcher | 06/23/2023 | |
Bios Capital Management, LP By: Bios Advisors GP, LLC, its general partner By: /s/ Aaron Glenn Louis Fletcher, Manager | 06/23/2023 | |
Bios Advisors GP, LLC By: /s/ Aaron Glenn Louis Fletcher, Manager | 06/23/2023 | |
Bios Fund III, LP By: Bios Equity Partners III, LP, its general partner By: Bios Capital Management, LP, its general partner By: Bios Advisors GP, LLC, its general partner By: /s/ Aaron Glenn Louis Fletcher, Manager | 06/23/2023 | |
Bios Fund III QP, LP By: Bios Equity Partners III, LP, its general partner By: Bios Capital Management, LP, its general partner By: Bios Advisors GP, LLC, its general partner By: /s/ Aaron Glenn Louis Fletcher, Manager | 06/23/2023 | |
Bios Fund III NT, LP By: Bios Equity Partners III, LP, its general partner By: Bios Capital Management, LP, its general partner By: Bios Advisors GP, LLC, its general partner By: /s/ Aaron Glenn Louis Fletcher, Manager | 06/23/2023 | |
Bios Equity Partners III, LP By: Bios Capital Management, LP, its general partner By: Bios Advisors GP, LLC, its general partner By: /s/ Aaron Glenn Louis Fletcher, Manager | 06/23/2023 | |
Bios Azitra Co-invest I, LP By: Bios Capital Management, LP, its general partner By: Bios Advisors GP, LLC, its general partner By: /s/ Aaron Glenn Louis Fletcher, Manager | 06/23/2023 | |
** Signature of Reporting Person | Date | |
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | ||
* 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). | ||
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. | ||
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 Number. |