0001493152-24-006912.txt : 20240215 0001493152-24-006912.hdr.sgml : 20240215 20240215203823 ACCESSION NUMBER: 0001493152-24-006912 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240213 FILED AS OF DATE: 20240215 DATE AS OF CHANGE: 20240215 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Salva Francisco D. CENTRAL INDEX KEY: 0001834051 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-41705 FILM NUMBER: 24645544 MAIL ADDRESS: STREET 1: 4500 GREAT AMERICA PKWY STREET 2: STE. 100 #29 CITY: SANTA CLARA STATE: CA ZIP: 95054 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Azitra, Inc. CENTRAL INDEX KEY: 0001701478 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] ORGANIZATION NAME: 03 Life Sciences IRS NUMBER: 464478536 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 21 BUSINESS PARK DRIVE, SUITE 6 CITY: BRANFORD STATE: CT ZIP: 06405 BUSINESS PHONE: (203) 489-0183 MAIL ADDRESS: STREET 1: 21 BUSINESS PARK DRIVE, SUITE 6 CITY: BRANFORD STATE: CT ZIP: 06405 FORMER COMPANY: FORMER CONFORMED NAME: Azitra Inc DATE OF NAME CHANGE: 20170320 4 1 ownership.xml X0508 4 2024-02-13 0 0001701478 Azitra, Inc. AZTR 0001834051 Salva Francisco D. 21 BUSINESS PARK DRIVE BRANFORD CT 06405 1 1 0 0 President and CEO 0 Common Stock 2024-02-13 4 P 0 333300 0.30 A 338300 D /s/ Francisco D. Salva 2024-02-15