0001213900-23-093769.txt : 20231206 0001213900-23-093769.hdr.sgml : 20231206 20231206172805 ACCESSION NUMBER: 0001213900-23-093769 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20231128 FILED AS OF DATE: 20231206 DATE AS OF CHANGE: 20231206 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Anastassov George CENTRAL INDEX KEY: 0001604392 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-41106 FILM NUMBER: 231470566 BUSINESS ADDRESS: BUSINESS PHONE: 855-232-9953 MAIL ADDRESS: STREET 1: 18 EAST 50TH STREET STREET 2: 5TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10022 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Incannex Healthcare Inc. CENTRAL INDEX KEY: 0001873875 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 000000000 STATE OF INCORPORATION: C3 FISCAL YEAR END: 0630 BUSINESS ADDRESS: STREET 1: 401 DOCKLANDS DRIVE STREET 2: SUITE 15, LEVEL 12 CITY: DOCKLANDS, VICTORIA STATE: C3 ZIP: 3008 BUSINESS PHONE: 61 409 840 786 MAIL ADDRESS: STREET 1: 401 DOCKLANDS DRIVE STREET 2: SUITE 15, LEVEL 12 CITY: DOCKLANDS, VICTORIA STATE: C3 ZIP: 3008 FORMER COMPANY: FORMER CONFORMED NAME: Incannex Healthcare Ltd DATE OF NAME CHANGE: 20210720 3 1 ownership.xml X0206 3 2023-11-28 0 0001873875 Incannex Healthcare Inc. IXHL 0001604392 Anastassov George 221 DOSORIS LANE GLEN COVE NY 11542 1 0 0 0 Common Stock 669721 D There are no derivative securities beneficially owned /s/ George Anastassov 2023-12-06