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