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