0001104659-23-129254.txt : 20231226
0001104659-23-129254.hdr.sgml : 20231226
20231226170749
ACCESSION NUMBER: 0001104659-23-129254
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20231221
FILED AS OF DATE: 20231226
DATE AS OF CHANGE: 20231226
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Boctor Fady
CENTRAL INDEX KEY: 0001833394
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39752
FILM NUMBER: 231513935
MAIL ADDRESS:
STREET 1: 200 U.S. 9
STREET 2: SUITE 500
CITY: MANALAPAN TOWNSHIP
STATE: NJ
ZIP: 07726
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Petros Pharmaceuticals, Inc.
CENTRAL INDEX KEY: 0001815903
STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834]
ORGANIZATION NAME: 03 Life Sciences
IRS NUMBER: 851410058
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 1185 AVENUE OF THE AMERICAS, 3RD FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10036
BUSINESS PHONE: 973-242-0005
MAIL ADDRESS:
STREET 1: 1185 AVENUE OF THE AMERICAS, 3RD FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10036
4
1
tm2333705-6_4seq1.xml
OWNERSHIP DOCUMENT
X0508
4
2023-12-21
0
0001815903
Petros Pharmaceuticals, Inc.
PTPI
0001833394
Boctor Fady
1185 AVENUE OF THE AMERICAS, 3RD FLOOR
NEW YORK
NY
10036
0
1
0
0
See Remarks
0
Common Stock
2023-12-21
4
A
0
49645
0.00
A
49645
D
Stock Option (Right to Buy)
1.41
2023-12-21
4
A
0
54533
0
A
2033-12-21
Common Stock
54533
54533
D
The stock options vested 50% upon the date of grant, and the remainder vests upon the achievement of certain performance goals, provided that the Reporting Person has continued to provide services to the Company through the vesting date.
Princ. Exec. Officer & Chief Comm. Officer
/s/ Fady Boctor
2023-12-26