0000914190-21-000156.txt : 20210514 0000914190-21-000156.hdr.sgml : 20210514 20210514170211 ACCESSION NUMBER: 0000914190-21-000156 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210512 FILED AS OF DATE: 20210514 DATE AS OF CHANGE: 20210514 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Buller Richard E CENTRAL INDEX KEY: 0001688319 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38207 FILM NUMBER: 21925771 MAIL ADDRESS: STREET 1: C/O CELCUITY INC. STREET 2: 16305 36TH AVE. N., #100 CITY: MINNEAPOLIS STATE: MN ZIP: 55446 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Celcuity Inc. CENTRAL INDEX KEY: 0001603454 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MEDICAL LABORATORIES [8071] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE BUSINESS ADDRESS: STREET 1: 16305 36TH AVENUE N STREET 2: SUITE 100 CITY: MINNEAPOLIS STATE: MN ZIP: 55446 BUSINESS PHONE: 763-392-0767 MAIL ADDRESS: STREET 1: 16305 36TH AVENUE N STREET 2: SUITE 100 CITY: MINNEAPOLIS STATE: MN ZIP: 55446 FORMER COMPANY: FORMER CONFORMED NAME: Celcuity LLC DATE OF NAME CHANGE: 20140324 4 1 edgar.xml PRIMARY DOCUMENT X0306 4 2021-05-12 0001603454 Celcuity Inc. CELC 0001688319 Buller Richard E 16305 36TH AVENUE NORTH SUITE 100 MINNEAPOLIS MN 55446 1 0 0 0 Common Stock 2021-05-12 4 A 0 1482 0 A 9325 D Stock Option (right to buy) 10.68 2029-12-03 Common Stock 4555 4555 D Stock Option (right to buy) 5.10 2030-05-14 Common Stock 12654 12654 D Stock Option (right to buy) 26.99 2021-05-12 4 A 0 2310 0 A 2031-05-12 Common Stock 2310 2310 D Represents 1,482 shares of restricted stock for which risks of forfeiture lapse on April 30, 2022, or if earlier, the date of the Company's 2022 Annual Meeting of Stockholders. 100% vested. This Option will vest and become exercisable on April 30, 2022, or if earlier, the date of the Company's 2022 Annual Meeting of Stockholders. /s/ Eric O. Madson as attorney-in-fact for Richard E. Buller pursuant to Power of Attorney previously filed. 2021-05-14