0000897069-24-000395.txt : 20240215
0000897069-24-000395.hdr.sgml : 20240215
20240215161113
ACCESSION NUMBER: 0000897069-24-000395
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20240213
FILED AS OF DATE: 20240215
DATE AS OF CHANGE: 20240215
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Bay Shore Trust
CENTRAL INDEX KEY: 0001986593
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-41952
FILM NUMBER: 24643916
BUSINESS ADDRESS:
STREET 1: C/O MIRA PHARMACEUTICALS, INC.
STREET 2: 900 WEST PLATT STREET, SUITE 200
CITY: TAMPA
STATE: FL
ZIP: 33606-2173
BUSINESS PHONE: (737) 289-0835
MAIL ADDRESS:
STREET 1: C/O MIRA PHARMACEUTICALS, INC.
STREET 2: 900 WEST PLATT STREET, SUITE 200
CITY: TAMPA
STATE: FL
ZIP: 33606-2173
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: McNulty Brian Patrick
CENTRAL INDEX KEY: 0001996353
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-41952
FILM NUMBER: 24643915
MAIL ADDRESS:
STREET 1: C/O MIRA PHARMACEUTICALS, INC.
STREET 2: 900 WEST PLATT STREET, SUITE 200
CITY: TAMPA
STATE: FL
ZIP: 33606-2173
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Telomir Pharmaceuticals, Inc.
CENTRAL INDEX KEY: 0001971532
STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834]
ORGANIZATION NAME: 03 Life Sciences
IRS NUMBER: 872606031
STATE OF INCORPORATION: FL
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 900 WEST PLATT STREET, SUITE 200
CITY: TAMPA
STATE: FL
ZIP: 33606
BUSINESS PHONE: (813) 864-2562
MAIL ADDRESS:
STREET 1: 900 WEST PLATT STREET, SUITE 200
CITY: TAMPA
STATE: FL
ZIP: 33606
4
1
form4.xml
X0508
4
2024-02-13
0001971532
Telomir Pharmaceuticals, Inc.
TELO
0001986593
Bay Shore Trust
C/O TELOMIR PHARMACEUTICALS, INC.
900 WEST PLATT STREET, SUITE 200
TAMPA
FL
33606
true
0001996353
McNulty Brian Patrick
C/O TELOMIR PHARMACEUTICALS, INC.
900 WEST PLATT STREET, SUITE 200
TAMPA
FL
33606
true
false
Common Stock
2024-02-13
4
P
0
49000
7
A
5455431
I
By Trust
Common Stock
2024-02-13
4
P
0
40000
7
A
1365646
I
See Footnote
Common Stock
2024-02-13
4
P
0
49000
7
A
1902659
I
By Trust
Common Stock
24391
D
Common Stock (right to buy)
3.73
2023-06-15
2028-06-15
Common Stock
2439025
2439025
I
By Trust
These securities are owned directly by the Bay Shore Trust (the "Trust"), a 10% owner of the Issuer, and indirectly by Brian McNulty ("Mr. McNulty") as trustee of the Trust. Mr. McNulty disclaims beneficial ownership of the reported securities except to the extent of his pecuniary interest therein.
These securities are owned directly by the MIRALOGX, LLC, of which the Trust holds all of the membership interests, and indirectly by Mr. McNulty as trustee of the Trust. Mr. McNulty disclaims beneficial ownership of the reported securities except to the extent of his pecuniary interest therein.
These securities are owned directly by a trust for which Mr. McNulty serves as trustee. Mr. McNulty disclaims beneficial ownership of the reported securities because he is deemed to hold these securities only because of his role as Trustee and does not have any pecuniary interest in such securities.
These securities are owned directly by Mr. McNulty.
/s/ Nathen Fuentes, Attorney-in-Fact for Brian McNulty, Trustee
2024-02-15
/s/ Nathen Fuentes, Attorney-in-Fact for Brian McNulty
2024-02-15