0001213900-23-038668.txt : 20230511 0001213900-23-038668.hdr.sgml : 20230511 20230511212100 ACCESSION NUMBER: 0001213900-23-038668 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230509 FILED AS OF DATE: 20230511 DATE AS OF CHANGE: 20230511 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Garfield Jon CENTRAL INDEX KEY: 0001336751 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-41294 FILM NUMBER: 23912917 MAIL ADDRESS: STREET 1: 11111 SANTA MONICA BLVD., SUITE 650 CITY: LOS ANGELES STATE: CA ZIP: 90025 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Blue Water Biotech, Inc. CENTRAL INDEX KEY: 0001782107 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 201 E. FIFTH STREET STREET 2: SUITE 1900 CITY: CINCINNATI STATE: OH ZIP: 45202 BUSINESS PHONE: 513-620-4101 MAIL ADDRESS: STREET 1: 201 E. FIFTH STREET STREET 2: SUITE 1900 CITY: CINCINNATI STATE: OH ZIP: 45202 FORMER COMPANY: FORMER CONFORMED NAME: Blue Water Vaccines Inc. DATE OF NAME CHANGE: 20190710 4 1 ownership.xml X0407 4 2023-05-09 0 0001782107 Blue Water Biotech, Inc. BWV 0001336751 Garfield Jon 201 E. FIFTH STREET, SUITE 1900 CINCINNATI OH 45202 0 1 0 0 Chief Financial Officer 0 Common Stock 2023-05-09 4 A 0 100000 A 100000 D The restricted stock award was granted pursuant to the Blue Water Biotech, Inc. Amended and Restated 2022 Equity Incentive Plan. 50% of the stock award will vest on August 17, 2023; 25% of the award will vest on August 17, 2024; and the remaining 25% of the award will vest on August 18, 2025. /s/ Jon Garfield 2023-05-11