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