0001140361-23-031163.txt : 20230623 0001140361-23-031163.hdr.sgml : 20230623 20230623161550 ACCESSION NUMBER: 0001140361-23-031163 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230621 FILED AS OF DATE: 20230623 DATE AS OF CHANGE: 20230623 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Uzialko Edward R CENTRAL INDEX KEY: 0001856783 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40492 FILM NUMBER: 231037861 MAIL ADDRESS: STREET 1: 4605 DUDLEY LANE CITY: ATLANTA STATE: GA ZIP: 30327 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: FEMASYS INC CENTRAL INDEX KEY: 0001339005 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 113713499 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 X0407 4 2023-06-21 0001339005 FEMASYS INC FEMY 0001856783 Uzialko Edward R C/O FEMASYS INC. 3950 JOHNS CREEK COURT, SUITE 100 SUWANEE GA 30024 true false Stock Option (Right to Buy) 0.57 2023-06-21 4 A 0 8500 0 A 2033-06-21 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 2023-06-23