0000950170-24-063586.txt : 20240522 0000950170-24-063586.hdr.sgml : 20240522 20240522171054 ACCESSION NUMBER: 0000950170-24-063586 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240404 FILED AS OF DATE: 20240522 DATE AS OF CHANGE: 20240522 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Shukla Rajiv CENTRAL INDEX KEY: 0001709033 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40228 FILM NUMBER: 24974276 MAIL ADDRESS: STREET 1: EMERALD VIEW SUITE 400 STREET 2: 2054 VISTA PARKWAY CITY: WEST PALM BEACH STATE: FL ZIP: 33411 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Carmell Corp CENTRAL INDEX KEY: 0001842939 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] ORGANIZATION NAME: 08 Industrial Applications and Services IRS NUMBER: 861645738 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 2403 SIDNEY STREET, SUITE 300 CITY: PITTSBURGH STATE: PA ZIP: 15203 BUSINESS PHONE: 412-894-8248 MAIL ADDRESS: STREET 1: 2403 SIDNEY STREET, SUITE 300 CITY: PITTSBURGH STATE: PA ZIP: 15203 FORMER COMPANY: FORMER CONFORMED NAME: Carmell Therapeutics Corp DATE OF NAME CHANGE: 20230727 FORMER COMPANY: FORMER CONFORMED NAME: ALPHA HEALTHCARE ACQUISITION CORP III DATE OF NAME CHANGE: 20210127 4 1 ownership.xml 4 X0508 4 2024-04-04 0001842939 Carmell Corp CTCX 0001709033 Shukla Rajiv C/O CARMELL CORPORATION 2403 SIDNEY STREET, SUITE 300 PITTSBURGH PA 15203 true true true false Chairman and CEO false Common Stock 2024-04-04 4 P false 8680 2.88 A 57206 D Common Stock 2021-07-26 4 J false 0 0 A 4249908 I By AHAC Sponsor III LLC AHAC Sponsor III LLC (the "Sponsor") is the record holder of these shares and reported the ownership of these shares on Form 3 filed with the SEC on July 26, 2021. The Reporting Person is the managing member of the Sponsor and may be deemed the beneficial owner of the shares held by the Sponsor. The Reporting Person filed a Form 3 related to its indirect beneficial ownership of these shares on July 26, 2021. The Reporting Person disclaims beneficial ownership over any securities in which he does not have a pecuniary interest. /s/ Rajiv Shukla 2024-05-22