0000914190-21-000383.txt : 20211029 0000914190-21-000383.hdr.sgml : 20211029 20211029164702 ACCESSION NUMBER: 0000914190-21-000383 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211027 FILED AS OF DATE: 20211029 DATE AS OF CHANGE: 20211029 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Hahne Vicky CENTRAL INDEX KEY: 0001716043 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38207 FILM NUMBER: 211363906 MAIL ADDRESS: STREET 1: C/O CELCUITY, 16305 36TH AVENUE N. STREET 2: #450 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 2021-10-27 0001603454 Celcuity Inc. CELC 0001716043 Hahne Vicky 16305 36TH AVENUE N. SUITE 100 MINNEAPOLIS MN 55446 0 1 0 0 Chief Financial Officer Common Stock 8931 D Stock Option (right to buy) 8.40 2027-05-17 Common Stock 37500 37500 D Stock Option (right to buy) 23.48 2028-07-05 Common Stock 3000 3000 D Stock Option (right to buy) 25.77 2028-10-17 Common Stock 932 932 D Stock Option (right to buy) 19.72 2029-08-12 Common Stock 3000 3000 D Stock Option (right to buy) 5.9 2030-08-12 Common Stock 10000 10000 D Stock Option (right to buy) 10.35 2030-12-28 Common Stock 1122 1122 D Stock Option (right to buy) 14.84 2031-02-02 Common Stock 1301 1301 D Stock Option (right to buy) 15.92 2031-03-18 Common Stock 1204 1204 D Stock Option (right to buy) 27.94 2031-04-12 Common Stock 3806 3806 D Stock Option (right to buy) 20.04 2031-08-11 Common Stock 15000 15000 D Stock Option (right to buy) 17.19 2021-10-27 4 A 0 821 0 A 2031-10-27 Common Stock 821 821 D Fully vested. 750 shares vest on 7/5/19; the remaining 2,250 shares vest 1/36th per month thereafter. 233 shares vest on 10/17/19; the remaining 699 shares vest 1/36th per month thereafter. 750 shares vest on 8/12/20; the remaining 2,250 shares vest 1/36th per month thereafter. 2,500 shares vest on 8/12/21; the remaining 7,500 shares vest 1/36th per month thereafter. 280 shares vest on 12/29/21; the remaining 842 shares vest 1/36th per month thereafter. 325 shares vest on 2/2/22; the remaining 976 shares vest 1/36th per month thereafter. 301 shares vest on 3/18/22; the remaining 903 shares vest 1/36th per month thereafter. 952 shares vest on 4/12/22; the remaining 2,854 shares vest 1/36th per month thereafter. 3,750 shares vest on 8/11/22; the remaining 11,250 shares vest 1/36th per month thereafter. 205 shares vest on 10/27/22; the remaining 616 shares vest 1/36th per month thereafter. /s/ Eric Madson as Attorney-in-Fact for Vicky Hahne pursuant to Power of Attorney previously filed. 2021-10-29