0001415889-24-015769.txt : 20240606 0001415889-24-015769.hdr.sgml : 20240606 20240606163247 ACCESSION NUMBER: 0001415889-24-015769 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240604 FILED AS OF DATE: 20240606 DATE AS OF CHANGE: 20240606 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Shah Pratik CENTRAL INDEX KEY: 0001580787 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39756 FILM NUMBER: 241025937 MAIL ADDRESS: STREET 1: 3366 N. TORREY PINES COURT STREET 2: SUITE 220 CITY: LA JOLLA STATE: CA ZIP: 92037 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Pratik Shah Living Trust dated June 15, 2011 CENTRAL INDEX KEY: 0001953388 ORGANIZATION NAME: FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39756 FILM NUMBER: 241025936 BUSINESS ADDRESS: STREET 1: C/O ARS PHARMACEUTICALS, INC. STREET 2: 11682 EL CAMINO REAL, SUITE 120 CITY: SAN DIEGO STATE: CA ZIP: 92130 BUSINESS PHONE: (858) 771-9307 MAIL ADDRESS: STREET 1: C/O ARS PHARMACEUTICALS, INC. STREET 2: 11682 EL CAMINO REAL, SUITE 120 CITY: SAN DIEGO STATE: CA ZIP: 92130 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: ARS Pharmaceuticals, Inc. CENTRAL INDEX KEY: 0001671858 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] ORGANIZATION NAME: 03 Life Sciences IRS NUMBER: 811489190 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 11682 EL CAMINO REAL, SUITE 120 CITY: SAN DIEGO STATE: CA ZIP: 92130 BUSINESS PHONE: 858-771-9307 MAIL ADDRESS: STREET 1: 11682 EL CAMINO REAL, SUITE 120 CITY: SAN DIEGO STATE: CA ZIP: 92130 FORMER COMPANY: FORMER CONFORMED NAME: Silverback Therapeutics, Inc. DATE OF NAME CHANGE: 20160412 4 1 form4-06062024_080642.xml X0508 4 2024-06-04 0001671858 ARS Pharmaceuticals, Inc. SPRY 0001580787 Shah Pratik C/O ARS PHARMACEUTICALS, INC. 11682 EL CAMINO REAL, SUITE 120 SAN DIEGO CA 92130 true false true false 0001953388 Pratik Shah Living Trust dated June 15, 2011 C/O ARS PHARMACEUTICALS, INC. 11682 EL CAMINO REAL, SUITE 120 SAN DIEGO CA 92130 0 0 1 0 0 Common Stock 2024-06-04 4 J 0 2665800 D 7490404 I By The Pratik Shah Living Trust dated June 15, 2011 Common Stock 2024-06-04 4 G 0 1332900 0 D 6157504 I By The Pratik Shah Living Trust dated June 15, 2011 Common Stock 2024-06-04 4 G 0 1332900 0 A 1332900 I By Spouse of Pratik Shah, Ph.D. The Pratik Shah Living Trust dated June 15, 2011 transferred 1,332,900 shares to The Light Irrevocable Trust #1 (the "Light Trust"), of which an adult son of Pratik Shah, M.D. is a beneficiary, and 1,332,900 shares to The Star Irrevocable Trust #1 (the "Star Trust"), of which an adult son of Dr. Shah is a beneficiary. Dr. Shah is grantor of The Light Trust and the Star Trust and therefore has the ability to terminate each trust. Each transfer was made in exchange for trust assets of equal value under an asset substitution power authorized under the terms of each trust. Pratik Shah, Ph.D. is the trustee of The Pratik Shah Living Trust dated June 15, 2011. This transaction involved the reporting person's gift to his spouse. /s/ Kathleen Scott, Attorney-in Fact, for The Pratik Shah Living Trust dated June 15, 2011 2024-06-06 /s/ Kathleen Scott, Attorney-in Fact, for Pratik Shah, Ph.D. 2024-06-06