0001213900-23-045324.txt : 20230601
0001213900-23-045324.hdr.sgml : 20230601
20230601211044
ACCESSION NUMBER: 0001213900-23-045324
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230531
FILED AS OF DATE: 20230601
DATE AS OF CHANGE: 20230601
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Tarsh Simon
CENTRAL INDEX KEY: 0001943931
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-41294
FILM NUMBER: 23986528
MAIL ADDRESS:
STREET 1: 201 E. FIFTH STREET SUITE 1900
CITY: CINCINNATI
STATE: OH
ZIP: 45202
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Blue Water Biotech, Inc.
CENTRAL INDEX KEY: 0001782107
STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834]
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 201 E. FIFTH STREET
STREET 2: SUITE 1900
CITY: CINCINNATI
STATE: OH
ZIP: 45202
BUSINESS PHONE: 513-620-4101
MAIL ADDRESS:
STREET 1: 201 E. FIFTH STREET
STREET 2: SUITE 1900
CITY: CINCINNATI
STATE: OH
ZIP: 45202
FORMER COMPANY:
FORMER CONFORMED NAME: Blue Water Vaccines Inc.
DATE OF NAME CHANGE: 20190710
4
1
ownership.xml
X0407
4
2023-05-31
0
0001782107
Blue Water Biotech, Inc.
BWV
0001943931
Tarsh Simon
C/O BLUE WATER BIOTECH, INC.
201 E. FIFTH STREET, SUITE 1900
CINCINNATI
OH
45202
1
0
0
0
0
Common Stock
2023-05-31
4
A
0
6360
0
A
6360
D
Represents a restricted stock award granted to the Reporting Person pursuant to the Issuer's 2022 Equity Incentive Plan, as amended. The award will vest in full on May 31, 2024 so long as the Reporting Person continues to serve as a non-employee director of the Issuer until such date.
/s/ Erin Henderson, attorney-in-fact
2023-06-01