0001062993-23-015427.txt : 20230728
0001062993-23-015427.hdr.sgml : 20230728
20230728161244
ACCESSION NUMBER: 0001062993-23-015427
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230726
FILED AS OF DATE: 20230728
DATE AS OF CHANGE: 20230728
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Derby Michael
CENTRAL INDEX KEY: 0001809613
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-41475
FILM NUMBER: 231123168
MAIL ADDRESS:
STREET 1: 303 SOUTH BROADWAY
STREET 2: SUITE 125
CITY: TARRYTOWN
STATE: NY
ZIP: 10591
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: PaxMedica, Inc.
CENTRAL INDEX KEY: 0001811623
STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834]
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 303 SOUTH BROADWAY, SUITE 125
CITY: TARRYTOWN
STATE: NY
ZIP: 10591
BUSINESS PHONE: 914-987-2876
MAIL ADDRESS:
STREET 1: 303 SOUTH BROADWAY, SUITE 125
CITY: TARRYTOWN
STATE: NY
ZIP: 10591
4
1
form4.xml
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
X0508
4
2023-07-26
0001811623
PaxMedica, Inc.
PXMD
0001809613
Derby Michael
C/O PAXMEDICA, INC.
303 SOUTH BROADWAY, SUITE 125
TARRYTOWN
NY
10591
1
1
0
0
Executive Chairman
0
Common Stock
2023-07-26
4
F
0
6272
0.717
D
461886
D
Common Stock
7336745
I
TardiMed Sciences, LLC
Shares withheld by issuer to satisfy tax withholding obligations of reporting person resulting from vesting of restricted stock units.
The reporting person is the Managing Partner of TardiMed and has sole voting and dispositive control over the shares of Common Stock held by the entity. The reporting person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein.
/s/ Stephen D. Sheldon, Jr. Attorney-in-Fact
2023-07-28