Statement of Changes in Beneficial Ownership (4)
January 19 2021 - 01:51PM
Edgar (US Regulatory)
FORM 4
[ ]
Check this box if no longer subject to Section 16. Form 4 or Form 5
obligations may continue. See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL
OWNERSHIP OF SECURITIES
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Filed pursuant to Section 16(a) of the
Securities Exchange Act of 1934 or Section 30(h) of the Investment
Company Act of 1940
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1. Name
and Address of Reporting Person * Mayne Pharma
Ventures Pty Ltd |
2. Issuer Name and Ticker or Trading
Symbol Inhibitor Therapeutics, Inc. [ INTI ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)_____
Director __X__
10% Owner
_____ Officer (give title
below) _____ Other
(specify below)
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(Last)
(First)
(Middle)
1538 MAIN NORTH ROAD |
3. Date of Earliest Transaction (MM/DD/YYYY)
1/15/2021
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(Street)
SALISBURY SOUTH, SA, C3 5106
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line) ___
Form filed by One Reporting Person
_ X _ Form filed by More than One Reporting
Person |
Table I - Non-Derivative Securities Acquired, Disposed of, or
Beneficially Owned
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1.Title of Security
(Instr. 3) |
2. Trans. Date |
2A. Deemed Execution Date, if any |
3. Trans. Code
(Instr. 8) |
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5) |
5. Amount of Securities Beneficially Owned Following
Reported Transaction(s)
(Instr. 3 and 4) |
6. Ownership Form: Direct (D) or Indirect (I)
(Instr. 4) |
7. Nature of Indirect Beneficial Ownership (Instr.
4) |
Code |
V |
Amount |
(A) or (D) |
Price |
Common Stock |
1/15/2021 |
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J(1) |
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2240488 |
A |
$0 |
204083227 |
D (2) |
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Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible
securities)
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1. Title of Derivate Security
(Instr. 3) |
2. Conversion or Exercise Price of Derivative
Security |
3. Trans. Date |
3A. Deemed Execution Date, if any |
4. Trans. Code
(Instr. 8) |
5. Number of Derivative Securities Acquired (A) or
Disposed of (D)
(Instr. 3, 4 and 5) |
6. Date Exercisable and Expiration Date |
7. Title and Amount of Securities Underlying
Derivative Security
(Instr. 3 and 4) |
8. Price of Derivative Security
(Instr. 5) |
9. Number of derivative Securities Beneficially
Owned Following Reported Transaction(s) (Instr. 4) |
10. Ownership Form of Derivative Security: Direct
(D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr.
4) |
Code |
V |
(A) |
(D) |
Date Exercisable |
Expiration Date |
Title |
Amount or Number of Shares |
Explanation of
Responses: |
(1) |
On January 15, 2021, Mayne
Pharma Ventures Pty Ltd ("Mayne Ventures") received a dividend of
2,240,488 shares of Common Stock paid by the Issuer on shares of
Series B Convertible Preferred Stock held by Mayne Ventures,
pursuant to the terms of such Series B Convertible Preferred
Stock. |
(2) |
These securities are
directly owned by Mayne Ventures. This report is filed jointly by
Mayne Ventures, Mayne Pharma International Pty Ltd ("Mayne
International") and Mayne Pharma Group Limited ("Mayne Group").
Mayne Group holds 100% of the issued and outstanding equity
securities of Mayne International, and Mayne International holds
100% of the issued and outstanding equity securities of Mayne
Ventures. Consequently, Mayne Group and Mayne International may be
deemed to beneficially own the securities that are the subject to
this report indirectly, but disclaim beneficial ownership of such
securities except to the extent of their pecuniary interests
therein. For purposes of Section 16 of the Securities Exchange Act
of 1934, as amended, Mayne Ventures may be deemed to be a director
by deputization by virtue of its representation on the Board of
Directors of the Issuer. |
Reporting
Owners
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Reporting Owner Name / Address |
Relationships
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Director |
10% Owner |
Officer |
Other |
Mayne Pharma Ventures Pty Ltd
1538 MAIN NORTH ROAD
SALISBURY SOUTH, SA, C3 5106 |
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X |
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Mayne Pharma International Pty Ltd
1538 MAIN NORTH ROAD
SALISBURY SOUTH, SA, C3 5106 |
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X |
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Mayne Pharma Group Ltd
1538 MAIN NORTH ROAD
SALISBURY SOUTH, SA, C3 5106 |
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X |
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Signatures
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Mayne Pharma Ventures Pty Ltd, By: /s/ Scott
Richards, Director |
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1/18/2021 |
**Signature of
Reporting Person |
Date |
Mayne Pharma International Pty Ltd, By: /s/ Scott
Richards, Director |
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1/18/2021 |
**Signature of
Reporting Person |
Date |
Mayne Pharma Group Limited: /s/ Scott Richards,
Director |
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1/18/2021 |
**Signature of
Reporting Person |
Date |