0001193125-23-037951.txt : 20230214 0001193125-23-037951.hdr.sgml : 20230214 20230214113559 ACCESSION NUMBER: 0001193125-23-037951 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20230214 DATE AS OF CHANGE: 20230214 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: MAIA Biotechnology, Inc. CENTRAL INDEX KEY: 0001878313 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G SEC ACT: 1934 Act SEC FILE NUMBER: 005-93731 FILM NUMBER: 23624864 BUSINESS ADDRESS: STREET 1: 444 WEST LAKE STREET, SUITE 1700 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: 312-416-8592 MAIL ADDRESS: STREET 1: 444 WEST LAKE STREET, SUITE 1700 CITY: CHICAGO STATE: IL ZIP: 60606 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: Vitoc Vlad CENTRAL INDEX KEY: 0001913257 FILING VALUES: FORM TYPE: SC 13G MAIL ADDRESS: STREET 1: 444 WEST LAKE STREET, SUITE 1700 CITY: CHICAGO STATE: IL ZIP: 60606 SC 13G 1 d435114dsc13g.htm SC 13G SC 13G

 

 

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 

 

SCHEDULE 13G

(Amendment No.    )

(Rule 13d-102)

INFORMATION TO BE INCLUDED IN STATEMENTS FILED PURSUANT

TO RULES 13d-1(b), (c) AND (d) AND AMENDMENTS THERETO FILED

PURSUANT TO §240.13d-2

 

 

MAIA BIOTECHNOLOGY, INC.

(Name of Issuer)

Common Stock, $0.0001 par value

(Title of Class of Securities)

552641 102

(CUSIP Number)

December 31, 2022

(Date of Event which Requires Filing of this Statement)

 

 

Check the appropriate box to designate the rule pursuant to which this Schedule is filed:

☐ Rule 13d-1 (b)

☐ Rule 13d-1 (c)

☒ Rule 13d-1 (d)

 

*

The remainder of this cover page shall be filled out for a reporting person’s initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter the disclosures provided in a prior cover page.

The information required in the remainder of this cover page shall not be deemed to be “filed” for the purpose of Section 18 of the Securities Exchange Act of 1934 (“Act”) or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes).

 

 

 

(Continued on following page(s))

Page 1 of 6 Pages

CUSIP No. 552641 102    13G    Page 2 of 6 Pages

 

  1    

  NAME OF REPORTING PERSON

 

  Vlad Vitoc

  2  

  CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*

  (a)  ☐        (b)  ☐

 

  3  

  SEC USE ONLY

 

  4  

  CITIZENSHIP OR PLACE OF ORGANIZATION

 

  United States

NUMBER OF

SHARES

 BENEFICIALLY 

OWNED BY

EACH

REPORTING

PERSON

WITH

    5     

  SOLE VOTING POWER

 

  2,718,044

   6   

  SHARED VOTING POWER

 

  428,159

   7   

  SOLE DISPOSITIVE POWER

 

  2,718,044

   8   

  SHARED DISPOSITIVE POWER

 

  428,159

  9    

  AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON

 

  3,146,203 (1)

10  

  CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES*

 

  ☐

11  

  PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)

 

  23.98%

12  

  TYPE OF REPORTING PERSON*

 

  IN

 

(1)

Consists of 3,146,203 shares consisting of: (i) 799,531 shares of common stock directly held by Mr. Vitoc and 200,000 shares of common stock directly held by his spouse, and (ii) 1,918,513 shares of common stock issuable upon the exercise of stock options and warrants directly held by Mr. Vitoc, 28,159 shares of common stock issuable upon the exercise of stock options directly held by Mr. Vitoc’s spouse, 100,000 shares of common stock issuable upon the exercise of stock options directly held by MAIA Laetitia Cristian Vitoc 2022 MAIA Irrevocable Trust, for the benefit of Mr. Vitoc’s child, for which Mr. Vitoc’s spouse serves as trustee, and 100,000 shares of common stock issuable upon the exercise of stock options directly held by Leia Violeta Ioana Vitoc 2022 MAIA Irrevocable Trust, for the benefit of Mr. Vitoc’s child, for which Mr. Vitoc’s spouse serves as trustee. Mr. Vitoc disclaims beneficial ownership of the shares beneficially owned by his spouse, MAIA Laetitia Cristian Vitoc 2022 MAIA Irrevocable Trust, and Leia Violeta Ioana Vitoc 2022 MAIA Irrevocable Trust.

CUSIP No. 552641 102    13G    Page 3 of 6 Pages

 

Explanatory Note

Item 1.

(a) Name of Issuer: MAIA Biotechnology, Inc.

(b) Address of Issuer’s Principal Executive Offices:

444 West Lake Street, Suite 1700, Chicago, IL 60606

Item 2.

(a) Name of Person Filing:

This statement is filed by: Vlad Vitoc

(b) Address of Principal Business Office or if none, Residence: 444 West Lake Street, Suite 1700, Chicago, IL 60606

(c) Citizenship: United States

(d) Title of Class of Securities: Common Stock, $0.0001 par value

(e) CUSIP Number: 552641 102

 

Item 3.

Not Applicable

 

Item 4.

Ownership.

(a) Amount Beneficially Owned:

3,146,203 shares, consisting of: (i) 799,531 shares of common stock directly held by Mr. Vitoc and 200,000 shares of common stock directly held by his spouse, and (ii) 1,918,513 shares of common stock issuable upon the exercise of stock options and warrants directly held by Mr. Vitoc, 28,159 shares of common stock issuable upon the exercise of stock options directly held by Mr. Vitoc’s spouse, 100,000 shares of common stock issuable upon the exercise of stock options directly held by MAIA Laetitia Cristian Vitoc 2022 MAIA Irrevocable Trust, for the benefit of Mr. Vitoc’s child, for which Mr. Vitoc’s spouse serves as trustee, and 100,000 shares of common stock issuable upon the exercise of stock options directly held by Leia Violeta Ioana Vitoc 2022 MAIA Irrevocable Trust, for the benefit of Mr. Vitoc’s child, for which Mr. Vitoc’s spouse serves as trustee.

CUSIP No. 552641 102    13G    Page 4 of 6 Pages

 

(b) Percent of Class:

23.98%

The foregoing percentage is based on 10,973,904 shares of common stock of the issuer as reported on the issuer’s Registration Statement on Form S-1 filed with the Securities and Exchange Commission on February 6, 2023, plus 2,146,672 shares of common stock issuable upon the exercise of stock options and warrants exercisable within 60 days of December 31, 2022.

(c) Number of shares as to which such person has:

(i) sole power to vote or to direct the vote:

2,718,044 shares consisting of: (i) 799,531 shares of common stock directly held by Mr. Vitoc and (ii) 1,918,513 shares of common stock issuable upon the exercise of stock options and warrants directly held by Mr. Vitoc.

(ii) shared power to vote or to direct the vote:

428,159 shares consisting of: 200,000 shares of common stock directly held by Mr. Vitoc’s spouse, and (ii) 28,159 shares of common stock issuable upon the exercise of stock options directly held by Mr. Vitoc’s spouse, 100,000 shares of common stock issuable upon the exercise of stock options directly held by MAIA Laetitia Cristian Vitoc 2022 MAIA Irrevocable Trust, for the benefit of Mr. Vitoc’s child, for which Mr. Vitoc’s spouse serves as trustee, and 100,000 shares of common stock issuable upon the exercise of stock options directly held by Leia Violeta Ioana Vitoc 2022 MAIA Irrevocable Trust, for the benefit of Mr. Vitoc’s child, for which Mr. Vitoc’s spouse serves as trustee.

(iii) sole power to dispose or to direct the disposition of:

2,718,044 shares consisting of: (i) 799,531 shares of common stock directly held by Mr. Vitoc and (ii) 1,918,513 shares of common stock issuable upon the exercise of stock options and warrants directly held by Mr. Vitoc.

(iv) shared power to dispose or to direct the disposition of:

428,159 shares consisting of: 200,000 shares of common stock directly held by Mr. Vitoc’s spouse, and (ii) 28,159 shares of common stock issuable upon the exercise of stock options directly held by Mr. Vitoc’s spouse, 100,000 shares of common stock issuable upon the exercise of stock options directly held by MAIA Laetitia Cristian Vitoc 2022 MAIA Irrevocable Trust, for the benefit of Mr. Vitoc’s child, for which Mr. Vitoc’s spouse serves as trustee, and 100,000 shares of common stock issuable upon the exercise of stock options directly held by Leia Violeta Ioana Vitoc 2022 MAIA Irrevocable Trust, for the benefit of Mr. Vitoc’s child, for which Mr. Vitoc’s spouse serves as trustee.

CUSIP No. 552641 102    13G    Page 5 of 6 Pages

 

Item 5. Ownership of Five Percent or Less of a Class: If this statement is being filed to report the fact that as of the date hereof the reporting person has ceased to be the beneficial owner of more than 5 percent of the class of securities, check the following  ☐.

 

Item 6.

Ownership of More than Five Percent on Behalf of Another Person: Not Applicable

 

Item 7.

Identification and Classification of Subsidiary Which Acquired the Securities: Not Applicable

 

Item 8.

Identification and Classification of Members of the Group: Not Applicable

 

Item 9.

Notice of Dissolution of Group: Not Applicable

 

Item 10.

Not Applicable

CUSIP No. 552641 102    13G    Page 6 of 6 Pages

 

SIGNATURE

After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct.

February 14, 2023

 

By:  

/s/ Vlad Vitoc

Name:   Vlad Vitoc

The original statement shall be signed by each person on whose behalf the statement is filed or his authorized representative. If the statement is signed on behalf of a person by his authorized representative other than an executive officer or general partner of the filing person, evidence of the representative’s authority to sign on behalf of such person shall be filed with the statement, Provided, however, That a power of attorney for this purpose which is already on file with the Commission may be incorporated by reference. The name and any title of each person who signs the statement shall be typed or printed beneath his signature.