0000914190-21-000158.txt : 20210514 0000914190-21-000158.hdr.sgml : 20210514 20210514170300 ACCESSION NUMBER: 0000914190-21-000158 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: Furcht Leo CENTRAL INDEX KEY: 0001775749 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38207 FILM NUMBER: 21925785 MAIL ADDRESS: STREET 1: C/O CELCUITY, 16305 36TH AVENUE N. STREET 2: #100 CITY: MINNEAPOLIS STATE: MN ZIP: 55445 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 0001775749 Furcht Leo 16305 36TH AVENUE NORTH SUITE 100 MINNEAPOLIS MN 55446 1 0 0 0 Stock Option (right to buy) 1.60 2022-12-14 Common Stock 250 250 D Stock Option (right to buy) 1.60 2023-12-14 Common Stock 250 250 D Stock Option (right to buy) 3.60 2024-12-14 Common Stock 250 250 D Stock Option (right to buy) 7.60 2025-12-14 Common Stock 250 250 D Stock Option (right to buy) 7.60 2026-12-14 Common Stock 250 250 D Stock Option (right to buy) 18.95 2027-12-29 Common Stock 500 500 D Stock Option (right to buy) 23.99 2028-12-31 Common Stock 500 500 D Stock Option (right to buy) 22.45 2029-05-16 Common Stock 5054 5054 D Stock Option (right to buy) 5.10 2030-05-14 Common Stock 25308 25308 D Stock Option (right to buy) 26.99 2021-05-12 4 A 0 4619 0 A 2031-05-12 Common Stock 4619 4619 D Fully 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 Madson as attorney-in-fact for Leo Furcht pursuant to Power of Attorney previously filed. 2021-05-14