0001493152-23-012818.txt : 20230418
0001493152-23-012818.hdr.sgml : 20230418
20230418174546
ACCESSION NUMBER: 0001493152-23-012818
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230416
FILED AS OF DATE: 20230418
DATE AS OF CHANGE: 20230418
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Elsey R Don
CENTRAL INDEX KEY: 0001380742
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-41600
FILM NUMBER: 23827925
MAIL ADDRESS:
STREET 1: 2273 RESEARCH BLVD, SUITE 400
CITY: ROCKVILLE
STATE: MD
ZIP: 20850
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: BullFrog AI Holdings, Inc.
CENTRAL INDEX KEY: 0001829247
STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834]
IRS NUMBER: 844786155
STATE OF INCORPORATION: NV
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 325 ELLINGTON BLVD.
STREET 2: UNIT 317
CITY: GAITHERSBURG
STATE: MD
ZIP: 20878
BUSINESS PHONE: 3013672055
MAIL ADDRESS:
STREET 1: 325 ELLINGTON BLVD.
STREET 2: UNIT 317
CITY: GAITHERSBURG
STATE: MD
ZIP: 20878
4
1
ownership.xml
X0407
4
2023-04-16
0
0001829247
BullFrog AI Holdings, Inc.
BFRG,BFRGW
0001380742
Elsey R Don
323 ELLINGTON BLVD, UNIT 317
GAITHERSBURG
MD
20878
1
0
0
0
0
Stock options (Right to buy)
6.82
2023-04-16
2023-04-16
4
A
0
40000
0.00
A
Common stock
40000
40000
D
The options vest as follows: 8,888 options were deemed immediately vested and, each month thereafter 864 shares vest per month.
The option expires on April 16, 2028.
/s/ R. Don Elsey
2023-04-18