0001140361-22-022651.txt : 20220610 0001140361-22-022651.hdr.sgml : 20220610 20220610181923 ACCESSION NUMBER: 0001140361-22-022651 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220608 FILED AS OF DATE: 20220610 DATE AS OF CHANGE: 20220610 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Larsen Charles CENTRAL INDEX KEY: 0001857458 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40492 FILM NUMBER: 221010199 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 4 1 form4.xml FORM 4 X0306 4 2022-06-08 0001339005 FEMASYS INC FEMY 0001857458 Larsen Charles C/O FEMASYS INC. 3950 JOHNS CREEK COURT, SUITE 100 SUWANEE GA 30024 true Stock Option (Right to Buy) 1.5 2022-06-08 4 A 0 8500 0 A 2032-06-08 Common Stock 8500 8500 D The shares underlying the stock option vest one year from the date of grant, assuming continued service. /s/ Kathy Lee-Sepsick, Attorney-in-fact 2022-06-10