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