0001415889-21-005359.txt : 20211122
0001415889-21-005359.hdr.sgml : 20211122
20211122091137
ACCESSION NUMBER: 0001415889-21-005359
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20211117
FILED AS OF DATE: 20211122
DATE AS OF CHANGE: 20211122
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: MARIO ERNEST
CENTRAL INDEX KEY: 0001180469
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38365
FILM NUMBER: 211430376
MAIL ADDRESS:
STREET 1: 20 FAIRMOUNT AVENUE
STREET 2: P.O. BOX 445
CITY: CHATHAM
STATE: NJ
ZIP: 07928
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: EYENOVIA, INC.
CENTRAL INDEX KEY: 0001682639
STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834]
IRS NUMBER: 471178401
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 295 MADISON AVENUE,
STREET 2: SUITE 2400
CITY: NEW YORK
STATE: NY
ZIP: 10017
BUSINESS PHONE: 813-766-9539
MAIL ADDRESS:
STREET 1: 295 MADISON AVENUE,
STREET 2: SUITE 2400
CITY: NEW YORK
STATE: NY
ZIP: 10017
4
1
form4-11222021_061130.xml
X0306
4
2021-11-17
0001682639
EYENOVIA, INC.
EYEN
0001180469
MARIO ERNEST
C/O EYENOVIA, INC.
295 MADISON AVENUE, SUITE 2400
NEW YORK
NY
10017
true
false
false
false
Common Stock, par value $.0001
2021-11-17
4
A
0
6963
0
A
382706
D
Stock Option (right to buy)
3.59
2021-11-17
4
A
0
9653
0
A
2031-11-17
Common Stock
9653
9653
D
Represents restricted stock units that fully vest on the earlier of November 17, 2022 or the date of the Issuer's 2022 annual meeting of stockholders, subject to the Reporting Person's continued service on the Issuer's Board of Directors and acceleration upon change in control.
The option becomes exercisable on the earlier of November 17, 2022 or the date of the Issuer's 2022 annual meeting of stockholders, subject to the Reporting Person's continued service on the Issuer's Board of Directors and acceleration upon change in control.
/s/ Ernest Mario
2021-11-22