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