0001140361-22-006577.txt : 20220224 0001140361-22-006577.hdr.sgml : 20220224 20220224162250 ACCESSION NUMBER: 0001140361-22-006577 CONFORMED SUBMISSION TYPE: 3/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210617 FILED AS OF DATE: 20220224 DATE AS OF CHANGE: 20220224 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Larsen Charles CENTRAL INDEX KEY: 0001857458 FILING VALUES: FORM TYPE: 3/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-40492 FILM NUMBER: 22671375 MAIL ADDRESS: STREET 1: 28 SANDPIPER ROAD CITY: TAMPA STATE: FL ZIP: 33609 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 3/A 1 form3.xml FORM 3/A X0206 3/A 2021-06-17 2021-06-17 0 0001339005 FEMASYS INC FEMY 0001857458 Larsen Charles C/O FEMASYS INC. 3950 JOHNS CREEK COURT, SUITE 100 SUWANEE GA 30024 true Common Stock 13889 D These shares were inadvertently reported in Table II as employee stock options in the original Form 3 filing. /s/ Kathy Lee-Sepsick, Attorney-in-fact 2022-02-24