0001213900-23-000003.txt : 20230103
0001213900-23-000003.hdr.sgml : 20230103
20230103060237
ACCESSION NUMBER: 0001213900-23-000003
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20221230
FILED AS OF DATE: 20230103
DATE AS OF CHANGE: 20230103
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Stilley William B. III
CENTRAL INDEX KEY: 0001718069
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38323
FILM NUMBER: 23500040
MAIL ADDRESS:
STREET 1: 1180 SEMINOLE TRAIL, SUITE 495
CITY: CHARLOTTESVILLE
STATE: VA
ZIP: 22901
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: ADIAL PHARMACEUTICALS, INC.
CENTRAL INDEX KEY: 0001513525
STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834]
IRS NUMBER: 800667150
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 1180 SEMINOLE TRAIL
STREET 2: SUITE 495
CITY: CHARLOTTESVILLE
STATE: VA
ZIP: 22901
BUSINESS PHONE: 434-422-9800
MAIL ADDRESS:
STREET 1: 1180 SEMINOLE TRAIL
STREET 2: SUITE 495
CITY: CHARLOTTESVILLE
STATE: VA
ZIP: 22901
FORMER COMPANY:
FORMER CONFORMED NAME: ADial Pharmaceuticals, L.L.C.
DATE OF NAME CHANGE: 20170515
FORMER COMPANY:
FORMER CONFORMED NAME: Adial Pharmaceuticals, L.L.C.
DATE OF NAME CHANGE: 20110218
4
1
ownership.xml
X0306
4
2022-12-30
0
0001513525
ADIAL PHARMACEUTICALS, INC.
ADIL
0001718069
Stilley William B. III
1180 SEMINOLE TRAIL, SUITE 495
CHARLOTTESVILLE
VA
22901
1
0
0
0
Common Stock
2022-12-30
4
D
0
166667
0
D
1020979
D
Represents the cancellation of 166,667 previously outstanding shares of restricted common stock of Adial Pharmaceuticals, Inc. originally issued on February 23, 2022.
/s/ William B. Stilley, III
2023-01-03