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*
O'Neil Shaun

(Last) (First) (Middle)
ONE GRAND CENTRAL PLACE, SUITE 4600

(Street)
NEW YORK NY 10165

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
02/22/2022
3. Issuer Name and Ticker or Trading Symbol
PAVmed Inc. [ PAVM ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Chief Operating Officer
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(1) 225,000(1) D
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
Employee stock option (right to buy) (2) 07/23/2028 Common stock 195,108 $1.58 D
Employee stock option (right to buy) (2) 03/17/2029 Common stock 100,000 $1 D
Employee stock option (right to buy) (2) 04/01/2031 Common stock 75,000 $4.44 D
Explanation of Responses:
1. The issuer granted 225,000 shares of restricted stock to the reporting person pursuant to its long term incentive equity plan.
2. All options vest 1/12 on the first calendar quarter end after the Grant Date (as defined below), then additional 1/12 on each successive calendar quarter. Fully vested after 12 quarters. "Grant Date" as used herein shall mean, for each respective option, the date that is exactly ten years earlier than the Expiration date for such option.
/s/ Shaun O'Neil 02/23/2022
** 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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