0001493152-24-009088.txt : 20240306
0001493152-24-009088.hdr.sgml : 20240306
20240306180043
ACCESSION NUMBER: 0001493152-24-009088
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20240304
FILED AS OF DATE: 20240306
DATE AS OF CHANGE: 20240306
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Ervin Jeffrey S
CENTRAL INDEX KEY: 0001762163
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40874
FILM NUMBER: 24727386
MAIL ADDRESS:
STREET 1: C/O IMAC HOLDINGS, INC.
STREET 2: 1605 WESTGATE CIRCLE
CITY: BRENTWOOD
STATE: TN
ZIP: 37027
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Cingulate Inc.
CENTRAL INDEX KEY: 0001862150
STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834]
ORGANIZATION NAME: 03 Life Sciences
IRS NUMBER: 863825535
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 1901 W. 47TH PLACE
CITY: KANSAS CITY
STATE: KS
ZIP: 66205
BUSINESS PHONE: (913) 942-2300
MAIL ADDRESS:
STREET 1: 1901 W. 47TH PLACE
CITY: KANSAS CITY
STATE: KS
ZIP: 66205
4
1
ownership.xml
X0508
4
2024-03-04
0
0001862150
Cingulate Inc.
CING
0001762163
Ervin Jeffrey S
1901 W. 47TH PLACE
KANSAS CITY
KS
66205
1
0
0
0
0
Stock Option (right to Buy)
1.18
2024-03-04
4
A
0
5000
0
A
2034-03-04
Common Stock
5000
5000
D
The option vests as follows: 50% on the six-month anniversary of the date of grant and the remaining shares on the twelve-month anniversary of the date of grant.
/s/ Shane J. Schaffer, Attorney-in-Fact
2024-03-06