0001493152-21-030734.txt : 20211207
0001493152-21-030734.hdr.sgml : 20211207
20211207190946
ACCESSION NUMBER: 0001493152-21-030734
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 3
CONFORMED PERIOD OF REPORT: 20211207
FILED AS OF DATE: 20211207
DATE AS OF CHANGE: 20211207
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Hargroves Thomas Jeffrey
CENTRAL INDEX KEY: 0001883231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40874
FILM NUMBER: 211477267
MAIL ADDRESS:
STREET 1: C/O CINGULATE INC.
STREET 2: 1901 W. 47TH PLACE
CITY: KANSAS CITY
STATE: KS
ZIP: 66205
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Cingulate Inc.
CENTRAL INDEX KEY: 0001862150
STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834]
IRS NUMBER: 863825535
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 1901 W. 47TH PLACE
CITY: KANSAS CITY
STATE: KS
ZIP: 66205
BUSINESS PHONE: (913) 942-2300
MAIL ADDRESS:
STREET 1: 1901 W. 47TH PLACE
CITY: KANSAS CITY
STATE: KS
ZIP: 66205
3
1
ownership.xml
X0206
3
2021-12-07
0
0001862150
Cingulate Inc.
CING
0001883231
Hargroves Thomas Jeffrey
1901 W. 47TH PLACE
KANSAS CITY
KS
66205
1
0
0
0
Common Stock
37543
I
By Hargroves Family Investments, LLC
Shares reported reflect the (i) 0.699 for 1 reverse stock split effective October 12, 2021 and (ii) 0.64259 for 1 reverse stock split effective November 29, 2021.
Reporting person disclaims beneficial ownership of these securities except to the extent of their pecuniary interest therein, and the inclusion of these shares in this report shall not be deemed an admission of beneficial ownership of all of the reported shares for purposes of Section 16 or for any other purpose.
Exhibit 24-Power of Attorney
/s/ Shane J. Schaffer, Attorney-in Fact
2021-12-07
EX-24
2
ex-24.htm
Exhibit 24
GRAPHIC
3
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