SEC 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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1. Name and Address of Reporting Person*
LEVIN JEREMY M

(Last) (First) (Middle)
C/O OVID THERAPEUTICS INC.
1460 BROADWAY, SUITE 15044

(Street)
NEW YORK NY 10036

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
05/04/2017
3. Issuer Name and Ticker or Trading Symbol
Ovid Therapeutics Inc. [ OVID ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director X 10% Owner
X Officer (give title below) Other (specify below)
CEO
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
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)
Common Stock 4,186,045 D
Common Stock 465,116 I See Footnote(1)
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: 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
Series A Preferred Stock (2) (2) Common Stock 400,150 (2) D
Series B Preferred Stock (2) (2) Common Stock 35,461 (2) I See Footnote(3)
Employee Stock Option (Right to Buy) (4) 06/08/2025 Common Stock 372,093 $8.2 D
Employee Stock Option (Right to Buy) (5) 07/11/2026 Common Stock 186,046 $6.26 D
Employee Stock Option (Right to Buy) (6) 01/19/2027 Common Stock 232,558 $8.5 D
Explanation of Responses:
1. The reportable securities are owned directly by DSL-EAL Holdings LLC (the "LLC"). The Reporting Person is the manager of the LLC. The Reporting Person may be deemed to share voting and investment powers for the shares held by the LLC. The Reporting Person disclaims beneficial ownership of the shares held by the LLC and this report shall not be deemed an admission of beneficial ownership of such shares for the purposes of Section 16 or for any other purpose, except to the extent of any pecuniary interest therein.
2. Each share of Series A Preferred Stock and Series B Preferred Stock is convertible at any time, at the Reporting Person's election, on a one-for-one basis, has no expiration date and will convert into shares of common stock upon the closing of the Issuer's initial public offering.
3. The reportable securities are owned directly by Divo Holdings, LLC ("Divo"). The Reporting Person's spouse in the manager of Divo. The Reporting Person disclaims beneficial ownership of these shares and this report shall not be deemed an admission of beneficial ownership of such shares for the purposes of Section 16 or for any other purpose.
4. 25% of the shares subject to the Stock Option vested and became exercisable on June 8, 2016. The remaining shares vest in 36 equal monthly installments thereafter.
5. 25% of the shares subject to the Stock Option vested and became exercisable on January 1, 2017. The remaining shares vest in 36 equal monthly installments thereafter.
6. 25% of the shares subject to the Stock Option vest and become exercisable on January 1, 2018. The remaining shares vest in 36 equal monthly installments thereafter.
Remarks:
Exhibit List - Exhibit 24 - Power of Attorney
/s/ Laura Berezin, Attorney-in-Fact 05/04/2017
** 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 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).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
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