0001209191-22-051981.txt : 20221003
0001209191-22-051981.hdr.sgml : 20221003
20221003195109
ACCESSION NUMBER: 0001209191-22-051981
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220421
FILED AS OF DATE: 20221003
DATE AS OF CHANGE: 20221003
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Kupchyk Areta
CENTRAL INDEX KEY: 0001859718
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40388
FILM NUMBER: 221289263
MAIL ADDRESS:
STREET 1: C/O ANEBULO PHARMACEUTICALS, INC.
STREET 2: 1415 RANCH ROAD 620 SOUTH, SUITE 201
CITY: LAKEWAY
STATE: TX
ZIP: 78734
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Anebulo Pharmaceuticals, Inc.
CENTRAL INDEX KEY: 0001815974
STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834]
IRS NUMBER: 851170950
STATE OF INCORPORATION: DE
FISCAL YEAR END: 0630
BUSINESS ADDRESS:
STREET 1: 1415 RANCH ROAD 629 SOUTH, SUITE 201
CITY: LAKEWAY
STATE: TX
ZIP: 78734
BUSINESS PHONE: 737 203 5270
MAIL ADDRESS:
STREET 1: 1415 RANCH ROAD 629 SOUTH, SUITE 201
CITY: LAKEWAY
STATE: TX
ZIP: 78734
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2022-04-21
0
0001815974
Anebulo Pharmaceuticals, Inc.
ANEB
0001859718
Kupchyk Areta
C/O ANEBULO PHARMACEUTICALS, INC.
1415 RANCH ROAD 620 SOUTH, SUITE 201
LAKEWAY
TX
78734
1
0
0
0
Stock Option (right to buy)
6.00
2022-04-21
4
A
0
30425
0.00
A
2027-02-28
Common Stock
30425
30425
D
25% of the option vests on March 1, 2023. Thereafter, 1/48 of the option vests on a monthly basis over 36 months until the option becomes fully vested.
/s/ James R. Merchant, Attorney-in-Fact
2022-10-03