0001213900-23-093268.txt : 20231206 0001213900-23-093268.hdr.sgml : 20231206 20231206062252 ACCESSION NUMBER: 0001213900-23-093268 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20231128 FILED AS OF DATE: 20231206 DATE AS OF CHANGE: 20231206 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Valentine Troy CENTRAL INDEX KEY: 0001998126 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-41106 FILM NUMBER: 231468373 MAIL ADDRESS: STREET 1: 105 / 8 CENTURY CIRCUIT CITY: NORWEST, NSW STATE: C3 ZIP: 2153 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Incannex Healthcare Inc. CENTRAL INDEX KEY: 0001873875 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 000000000 STATE OF INCORPORATION: C3 FISCAL YEAR END: 0630 BUSINESS ADDRESS: STREET 1: 401 DOCKLANDS DRIVE STREET 2: SUITE 15, LEVEL 12 CITY: DOCKLANDS, VICTORIA STATE: C3 ZIP: 3008 BUSINESS PHONE: 61 409 840 786 MAIL ADDRESS: STREET 1: 401 DOCKLANDS DRIVE STREET 2: SUITE 15, LEVEL 12 CITY: DOCKLANDS, VICTORIA STATE: C3 ZIP: 3008 FORMER COMPANY: FORMER CONFORMED NAME: Incannex Healthcare Ltd DATE OF NAME CHANGE: 20210720 3 1 ownership.xml X0206 3 2023-11-28 0 0001873875 Incannex Healthcare Inc. IXHL 0001998126 Valentine Troy 105 / 8 CENTURY CIRCUIT NORWEST NEW SOUTH WALES, C3 2153 AUSTRALIA 1 0 0 0 Common Stock 29250 D Common Stock 10000 I By Mr. Valentine as the beneficiary of the GFCR Investments Trust Common Stock 30000 I By Valplan Pty Ltd, a company of which Mr. Valentine is a director Common Stock 10000 I By Tranaj Nominees Pty Ltd, a company of which Mr. Valentine is a director Common Stock 242862 I By Alignment Capital Pty Ltd, a company of which Mr. Valentine is a director and major shareholder Common Stock 44400 I By Cityside Pty Ltd, a company wholly-owned by Mr. Valentine Stock Option (right to buy) 17.10 2023-11-28 2025-07-01 Common Stock, par value $0.0001 4667 D Stock Option (right to buy) 20.39 2023-11-28 2026-07-01 Common Stock, par value $0.0001 4667 D Stock Option (right to buy) 23.02 2027-07-01 Common Stock, par value $0.0001 4667 D Stock Option (right to buy) 17.10 2023-11-28 2026-07-01 Common Stock, par value $0.0001 4667 D Stock Option (right to buy) 20.39 2027-07-01 Common Stock, par value $0.0001 4667 D Stock Option (right to buy) 23.02 2028-07-01 Common Stock, par value $0.0001 4667 D Stock Option (right to buy) 16.44 2023-11-28 2026-04-30 Common Stock, par value $0.0001 1951 D Stock Option (right to buy) 16.44 2023-11-28 2026-04-30 Common Stock, par value $0.0001 1917 I By Mr. Valentine as beneficiary of the GFCR Investments Trust managed Stock Option (right to buy) 16.44 2023-11-28 2026-04-30 Common Stock, par value $0.0001 2000 I By Valplan Pty Ltd, a company of which Mr. Valentine is a director Stock Option (right to buy) 16.44 2023-11-28 2026-04-30 Common Stock, par value $0.0001 6812 I By Tranaj Nominees Pty Ltd, a company of which Mr. Valentine is a director Stock Option (right to buy) 16.44 2023-11-28 2026-04-30 Common Stock, par value $0.0001 8797 I By Alignment Capital Pty Ltd, a company of which Mr. Valentine is a director and major shareholder Stock Option (right to buy) 16.44 2023-11-28 2026-04-30 Common Stock, par value $0.0001 2960 I By Cityside Pty Ltd a company wholly-owned by Mr. Valentine Granted on November 28, 2023. Vesting to occur on June 30, 2024, provided Mr. Valentine is still a director on such date. Granted on November 28, 2023. Vesting to occur on June 30, 2024, provided Mr. Valentine is still a director on such date. Granted on November 28, 2023. Vesting to occur on June 30, 2025, provided Mr. Valentine is still a director on such date. /s/ Troy Valentine 2023-12-06