0001493152-21-031461.txt : 20211214 0001493152-21-031461.hdr.sgml : 20211214 20211214180021 ACCESSION NUMBER: 0001493152-21-031461 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211210 FILED AS OF DATE: 20211214 DATE AS OF CHANGE: 20211214 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Hargroves Thomas Jeffrey CENTRAL INDEX KEY: 0001883231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40874 FILM NUMBER: 211492205 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 4 1 ownership.xml X0306 4 2021-12-10 0 0001862150 Cingulate Inc. CING 0001883231 Hargroves Thomas Jeffrey 1901 W. 47TH PLACE KANSAS CITY KS 66205 1 0 0 0 Common Stock 2021-12-10 4 P 0 8300 A 8300 D Common Stock 37543 I By Hargroves Family Investments, LLC Warrant to Purchase Common Stock 6.00 2021-12-10 4 A 0 8300 A 2021-12-10 2026-12-10 Common Stock 8300 8300 D Reporting Person purchased 8,300 Units in the Issuer's initial public offering at $6.00 per Unit. Each Unit consists of one share of Common Stock and one warrant to purchase one share of Common Stock. 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. /s/ Shane J. Schaffer, Attorney-in-Fact 2021-12-14