0001415889-21-003154.txt : 20210623
0001415889-21-003154.hdr.sgml : 20210623
20210623145545
ACCESSION NUMBER: 0001415889-21-003154
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210622
FILED AS OF DATE: 20210623
DATE AS OF CHANGE: 20210623
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Whitley Richard James
CENTRAL INDEX KEY: 0001441661
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39811
FILM NUMBER: 211038559
MAIL ADDRESS:
STREET 1: UAB, CHB 303
STREET 2: 1600 7TH AVENUE SOUTH
CITY: BIRMINGHAM
STATE: AL
ZIP: 35233-1711
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Virios Therapeutics, Inc.
CENTRAL INDEX KEY: 0001818844
STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834]
IRS NUMBER: 854314201
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 44 MILTON AVENUE
CITY: ALPHARETTA
STATE: GA
ZIP: 30009
BUSINESS PHONE: 8666208655
MAIL ADDRESS:
STREET 1: 44 MILTON AVENUE
CITY: ALPHARETTA
STATE: GA
ZIP: 30009
FORMER COMPANY:
FORMER CONFORMED NAME: Virios Therapeutics, LLC
DATE OF NAME CHANGE: 20200721
4
1
form4-06232021_110634.xml
X0306
4
2021-06-22
0001818844
Virios Therapeutics, Inc.
VIRI
0001441661
Whitley Richard James
44 MILTON AVENUE
ALPHARETTA
GA
30009
true
false
false
false
Stock Option (right to buy)
6.50
2021-06-22
4
A
0
7875
0
A
2031-06-22
Common Stock
7875
7875
D
The stock option will vest in 12 equal monthly installments following the grant date.
/s/ Greg Duncan, Attorney-in-Fact
2021-06-23