0001104659-22-005059.txt : 20220118
0001104659-22-005059.hdr.sgml : 20220118
20220118210843
ACCESSION NUMBER: 0001104659-22-005059
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220114
FILED AS OF DATE: 20220118
DATE AS OF CHANGE: 20220118
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Maccecchini Maria-Luisa
CENTRAL INDEX KEY: 0001315018
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39202
FILM NUMBER: 22536605
MAIL ADDRESS:
STREET 1: 1223 FOXGLOVE LANE
CITY: WEST CHESTER
STATE: PA
ZIP: 19380
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Annovis Bio, Inc.
CENTRAL INDEX KEY: 0001477845
STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834]
IRS NUMBER: 262540421
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 1055 WESTLAKES DRIVE, SUITE 300
CITY: BERWYN
STATE: PA
ZIP: 19312
BUSINESS PHONE: 610-727-3913
MAIL ADDRESS:
STREET 1: 1055 WESTLAKES DRIVE, SUITE 300
CITY: BERWYN
STATE: PA
ZIP: 19312
FORMER COMPANY:
FORMER CONFORMED NAME: QR Pharma, Inc.
DATE OF NAME CHANGE: 20091202
4
1
tm221949-7_4seq1.xml
OWNERSHIP DOCUMENT
X0306
4
2022-01-14
0
0001477845
Annovis Bio, Inc.
ANVS
0001315018
Maccecchini Maria-Luisa
C/O ANNOVIS BIO, INC.
1055 WESTLAKES DRIVE, SUITE 300
BERWYN
PA
19312
1
1
1
0
President and CEO
Common Stock
2022-01-14
4
M
0
32959
0.14
A
987734
D
Stock Option (right to buy)
0.14
2022-01-14
4
M
0
32959
0
D
2027-04-01
Common Stock
32959
52755
D
All of the shares underlying the option are fully vested and exercisable.
/s/ Jeffrey McGroarty, Attorney-in-Fact for Maria L. Maccecchini
2022-01-18