Initial Statement of Beneficial Ownership (3)
January 28 2021 - 06:27PM
Edgar (US Regulatory)
FORM 3
|
UNITED STATES SECURITIES AND EXCHANGE
COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP
OF SECURITIES
|
OMB
APPROVAL
OMB Number: 3235-0104
Estimated average burden
hours per response... 0.5 |
|
Filed pursuant to Section 16(a) of the
Securities Exchange Act of 1934 or Section 30(h) of the Investment
Company Act of 1940
|
|
1. Name
and Address of Reporting Person * Butch
Jason |
2. Date of Event Requiring Statement
(MM/DD/YYYY)
1/27/2021
|
3. Issuer Name and Ticker or Trading
Symbol AGILE THERAPEUTICS INC [AGRX] |
(Last)
(First)
(Middle)
101 POOR FARM ROAD |
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)_____
Director _____
10% Owner
___X___ Officer (give title
below) _____
Other (specify below)
Principal Accounting Officer / |
(Street)
PRINCETON, NJ 08540
(City)
(State)
(Zip)
|
5. If Amendment, Date Original
Filed(MM/DD/YYYY)
|
6. Individual or Joint/Group
Filing(Check Applicable
Line)_X_ Form filed by One Reporting
Person
___ Form filed by More than One Reporting Person |
Table I - Non-Derivative Securities Beneficially
Owned
|
1.Title of Security
(Instr. 4) |
2. Amount of Securities Beneficially Owned
(Instr. 4) |
3. Ownership Form: Direct (D) or Indirect (I)
(Instr. 5) |
4. Nature of Indirect Beneficial Ownership
(Instr. 5) |
Common Stock |
10000 |
D |
|
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible
securities)
|
1. Title of Derivate Security
(Instr. 4) |
2. Date Exercisable and Expiration Date
(MM/DD/YYYY) |
3. Title and Amount of Securities Underlying
Derivative Security
(Instr. 4) |
4. Conversion or Exercise Price of Derivative
Security |
5. Ownership Form of Derivative Security: Direct (D)
or Indirect (I)
(Instr. 5) |
6. Nature of Indirect Beneficial Ownership
(Instr. 5) |
Date Exercisable |
Expiration Date |
Title |
Amount or Number of Shares |
Employee Stock Option (Right to Buy) |
(1) |
6/30/2030 |
Common Stock |
50000 |
$2.81 |
D |
|
Explanation of
Responses: |
(1) |
This option was granted on
July 1, 2020. 25% of the shares subject to the stock option vest on
July 1, 2021, and the remaining shares vest in 36 equal monthly
installments over the following three years such that the option
will be fully vested on July 1, 2024. |
Remarks:
Exhibit List - 24.1 Power of Attorney |
Reporting
Owners
|
Reporting Owner Name / Address |
Relationships
|
Director |
10% Owner |
Officer |
Other |
Butch Jason
101 POOR FARM ROAD
PRINCETON, NJ 08540 |
|
|
Principal Accounting Officer |
|
Signatures
|
/s/ Geoffrey P. Gilmore,
Attorney-in-Fact |
|
1/28/2021 |
**Signature
of Reporting Person |
Date |