0001094891-21-000143.txt : 20210319
0001094891-21-000143.hdr.sgml : 20210319
20210319130709
ACCESSION NUMBER: 0001094891-21-000143
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210318
FILED AS OF DATE: 20210319
DATE AS OF CHANGE: 20210319
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Aklog Lishan
CENTRAL INDEX KEY: 0001665074
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37685
FILM NUMBER: 21757355
MAIL ADDRESS:
STREET 1: 420 LEXINGTON AVENUE
STREET 2: SUITE 300
CITY: NEW YORK
STATE: NY
ZIP: 10171
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Pavilion Venture Partners LLC
CENTRAL INDEX KEY: 0001665114
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37685
FILM NUMBER: 21757354
BUSINESS ADDRESS:
STREET 1: 420 LEXINGTON AVENUE
STREET 2: SUITE 300
CITY: NEW YORK
STATE: NY
ZIP: 10170
BUSINESS PHONE: 2124011951
MAIL ADDRESS:
STREET 1: 420 LEXINGTON AVENUE
STREET 2: SUITE 300
CITY: NEW YORK
STATE: NY
ZIP: 10170
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: PAVmed Inc.
CENTRAL INDEX KEY: 0001624326
STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841]
IRS NUMBER: 471214177
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: ONE GRAND CENTRAL PLACE
STREET 2: SUITE 4600
CITY: NEW YORK
STATE: NY
ZIP: 10165
BUSINESS PHONE: 212-949-4319
MAIL ADDRESS:
STREET 1: ONE GRAND CENTRAL PLACE
STREET 2: SUITE 4600
CITY: NEW YORK
STATE: NY
ZIP: 10165
FORMER COMPANY:
FORMER CONFORMED NAME: PAXmed Inc.
DATE OF NAME CHANGE: 20141105
4
1
edgar.xml
PRIMARY DOCUMENT
X0306
4
2021-03-18
0001624326
PAVmed Inc.
PAVM
0001665074
Aklog Lishan
ONE GRAND CENTRAL PLACE
SUITE 4600
NEW YORK
NY
10165
1
1
1
0
Chairman and CEO
0001665114
Pavilion Venture Partners LLC
ONE GRAND CENTRAL PLACE
SUITE 4600
NEW YORK
NY
10165
0
0
1
0
Common Stock
2021-03-18
4
P
0
7500
4.3098
A
1105913
D
Common Stock
2303
I
By daughter
Common Stock
2280
I
By son
Common Stock
4456570
I
By Pavilion Venture Partners LLC
Common Stock
20000
I
By HCFP/AG LLC
Dr. Aklog is a member and sole manager of Pavilion Venture Partners LLC, and has sole voting and dispositive power over the securities held by this entity. Dr. Aklog disclaims beneficial ownership of securities held by this entity, except to the extent of his proportionate pecuniary interest therein.
Dr. Aklog is a co-manager of HCFP/AG LLC, and shares joint voting and dispositive power over the securities held by this entity. Dr. Aklog disclaims beneficial ownership of securities held by this entity, except to the extent of his pecuniary interest therein.
/s/ Dr. Lishan Aklog
2021-03-19
/s/ Dr. Lishan Aklog, as manager of Pavilion Venture Partners LLC
2021-03-19