0001213900-23-075378.txt : 20230908 0001213900-23-075378.hdr.sgml : 20230908 20230908160042 ACCESSION NUMBER: 0001213900-23-075378 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230904 FILED AS OF DATE: 20230908 DATE AS OF CHANGE: 20230908 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: DeLuca Teresa CENTRAL INDEX KEY: 0001685627 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38105 FILM NUMBER: 231245245 MAIL ADDRESS: STREET 1: 40 BURTON HILLS BOULEVARD, SUITE 500 CITY: NASHVILLE STATE: TN ZIP: 37215 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: 180 Life Sciences Corp. CENTRAL INDEX KEY: 0001690080 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 813832378 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 3000 EL CAMINO REAL STREET 2: BLDG 4, STE 200 CITY: PALO ALTO STATE: CA ZIP: 94306 BUSINESS PHONE: 650-507-0669 MAIL ADDRESS: STREET 1: 3000 EL CAMINO REAL STREET 2: BLDG 4, STE 200 CITY: PALO ALTO STATE: CA ZIP: 94306 FORMER COMPANY: FORMER CONFORMED NAME: KBL MERGER CORP. IV DATE OF NAME CHANGE: 20161115 4 1 ownership.xml OWNERSHIP DOCUMENT X0508 4 2023-09-04 0 0001690080 180 Life Sciences Corp. ATNF 0001685627 DeLuca Teresa 3000 EL CAMINO REAL BLDG. 4, SUITE 200 PALO ALTO CA 94306 1 0 0 0 0 Common Stock 250 D Common Stock 125 I By Trust Common Stock 125 I By Trust Common Stock 125 I By Spouse Non-Qualified Stock Option (right to buy) 0.67 2023-09-04 4 A 0 15000 0.0 A 2033-09-04 Common Stock 15000 15000 D Shares are held by The Santina Iraggi Irrvoc TR, U/A 11/2/20, an irrevocable trust, of which the Reporting Person is beneficiary and trustee. Shares are held by the REV TR FBO Teresa M Deluca, a revocable trust, of which the Reporting Person is beneficiary and trustee. Granted in consideration for services rendered and to be rendered as a member of the Board of Directors for the quarter ended June 30, 2023. Granted under the registrant's First Amended and Restated 2022 Omnibus Incentive Plan. Exempt pursuant to Rule 16b-3. The options vest at the rate of 1/12th of such options ratably on a monthly basis over the following 12 months on the last day of each calendar month (beginning September 30, 2023), subject to the Reporting Person's continued service to the Company on such vesting dates. /s/ Teresa DeLuca 2023-09-08