0001213900-23-097812.txt : 20231221
0001213900-23-097812.hdr.sgml : 20231221
20231221204751
ACCESSION NUMBER: 0001213900-23-097812
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20231221
FILED AS OF DATE: 20231221
DATE AS OF CHANGE: 20231221
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Clark Robert
CENTRAL INDEX KEY: 0001997820
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-41106
FILM NUMBER: 231506944
MAIL ADDRESS:
STREET 1: 221 DOSORIS LANE
CITY: GLEN COVE
STATE: NY
ZIP: 11542
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Incannex Healthcare Inc.
CENTRAL INDEX KEY: 0001873875
STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834]
ORGANIZATION NAME: 03 Life Sciences
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
4
1
ownership.xml
X0508
4
2023-12-21
0
0001873875
Incannex Healthcare Inc.
IXHL
0001997820
Clark Robert
221 DOSORIS LANE
GLEN COVE
NY
11542
1
0
0
0
0
Common Stock
2023-12-21
4
A
0
100000
0
A
100000
D
Award of restricted stock of which 25,000 shares will vest on December 31, 2023, 25,000 shares concerning the remuneration of fiscal year 2023 will vest on June 30, 2024, 25,000 shares concerning the remuneration of fiscal year 2024 will vest on June 30, 2024, and 25,000 shares will vest on June 30, 2025, based upon the Reporting Person's continuing service as director on each vesting date.
/s/ Robert Clark
2023-12-21