0001013762-24-003564.txt : 20240801
0001013762-24-003564.hdr.sgml : 20240801
20240801091934
ACCESSION NUMBER: 0001013762-24-003564
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20240731
FILED AS OF DATE: 20240801
DATE AS OF CHANGE: 20240801
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Search Theodore F.
CENTRAL INDEX KEY: 0001974224
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-42195
FILM NUMBER: 241164724
MAIL ADDRESS:
STREET 1: C/O OS THERAPIES INCORPORATED
STREET 2: 15825 SHADY GROVE ROAD, SUITE 135
CITY: ROCKVILLE
STATE: MD
ZIP: 20850
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: OS Therapies Inc
CENTRAL INDEX KEY: 0001795091
STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834]
ORGANIZATION NAME: 03 Life Sciences
IRS NUMBER: 825118368
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 15825 SHADY GROVE ROAD
STREET 2: SUITE 135
CITY: ROCKVILLE
STATE: MD
ZIP: 20850
BUSINESS PHONE: 410-297-7793
MAIL ADDRESS:
STREET 1: 15825 SHADY GROVE ROAD
STREET 2: SUITE 135
CITY: ROCKVILLE
STATE: MD
ZIP: 20850
FORMER COMPANY:
FORMER CONFORMED NAME: OS THERAPIES Inc
DATE OF NAME CHANGE: 20191125
3
1
ownership.xml
X0206
3
2024-07-31
0
0001795091
OS Therapies Inc
OSTX
0001974224
Search Theodore F.
C/O OS THERAPIES INCORPORATED
15825 SHADY GROVE ROAD, SUITE 135
ROCKVILLE
MD
20850
1
0
0
0
Common stock, par value $0.001 per share ("Common Stock")
20000
D
Common Stock
37500
I
Mill River Partners LLC
Convertible Promissory Note
2024-10-31
Common Stock
25000
I
Mill River Partners LLC
Convertible Promissory Note
2024-10-31
Common Stock
75000
I
Mill River Partners LLC
Convertible Promissory Note
2024-10-31
Common Stock
50000
I
Mill River Partners LLC
Theodore F. Search serves on the board of managers of Mill River Partners LLC.
Represents the outstanding principal amount of convertible promissory notes held by Mill River Partners LLC, which will automatically convert upon consummation of the Issuer's initial public offering into shares of Common Stock at a conversion price of 80% of the price per share in the Issuer's initial public offering, subject to a valuation ceiling of $19 million.
Represents the outstanding principal amount of a convertible promissory note held by Mill River Partners LLC, which will automatically convert upon consummation of the Issuer's initial public offering into shares of Common Stock at a conversion price of 50% of the price per share in the Issuer's initial public offering, subject to a valuation ceiling of $50 million.
/s/ Theodore F. Search
2024-07-31