0001213900-23-043133.txt : 20230525
0001213900-23-043133.hdr.sgml : 20230525
20230525165018
ACCESSION NUMBER: 0001213900-23-043133
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230523
FILED AS OF DATE: 20230525
DATE AS OF CHANGE: 20230525
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Truluck Joseph
CENTRAL INDEX KEY: 0001718091
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38323
FILM NUMBER: 23961633
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
X0407
4
2023-05-23
0
0001513525
ADIAL PHARMACEUTICALS, INC.
ADIL
0001718091
Truluck Joseph
1180 SEMINOLE TRAIL, SUITE 495
CHARLOTTESVILLE,
VA
22901
0
1
0
0
Chief Financial Officer
0
Common Stock
2023-05-23
4
A
0
157500
0
A
265139
D
Stock Option (Right to Buy)
0.3025
2023-05-23
4
A
0
125000
0
A
2023-05-23
2033-05-23
Common Stock
125000
125000
D
The option vests pro rata on a monthly basis over 36 months commencing May 23, 2023.
/s/ Joseph Truluck
2023-05-25