0001140361-22-002954.txt : 20220127 0001140361-22-002954.hdr.sgml : 20220127 20220127211006 ACCESSION NUMBER: 0001140361-22-002954 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220125 FILED AS OF DATE: 20220127 DATE AS OF CHANGE: 20220127 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Perrow Wendy CENTRAL INDEX KEY: 0001660814 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40492 FILM NUMBER: 22565057 MAIL ADDRESS: STREET 1: C/O BIOANALYTICAL SYSTEMS, INC. STREET 2: 2701 KENT AVENUE CITY: WEST LAFAYETTE STATE: IN ZIP: 47906 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: FEMASYS INC CENTRAL INDEX KEY: 0001339005 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 3950 JOHNS CREEK COURT STREET 2: SUITE 100 CITY: SUWANEE STATE: GA ZIP: 30024 BUSINESS PHONE: 770-500-3910 MAIL ADDRESS: STREET 1: 3950 JOHNS CREEK COURT STREET 2: SUITE 100 CITY: SUWANEE STATE: GA ZIP: 30024 4 1 form4.xml FORM 4 X0306 4 2022-01-25 0001339005 FEMASYS INC FEMY 0001660814 Perrow Wendy C/O FEMASYS INC. 3950 JOHNS CREEK COURT, SUITE 100 SUWANEE GA 30024 true Stock Option (Right to Buy) 3.03 2022-01-25 4 A 0 17000 0 A 2032-01-25 Common Stock 17000 17000 D Represents stock options granted pursuant to the Issuer's 2021 Equity Incentive Plan. The shares underlying the stock options vest equally in installments over 3 years beginning on January 25, 2022. /s/ Kathy Lee-Sepsick, Attorney-in-fact 2022-01-27