UNITED STATES SECURITIES
AND EXCHANGE COMMISSION
Washington, D.C.

FORM D

OMB APPROVAL
OMB Number: 3235-0076
Estimated Average burden hours per response: 4.0
Notice of Exempt Offering of Securities


1. Issuer's Identity
CIK (Filer ID Number)Previous Name(s)  o NoneEntity Type
0001603454
Celcuity LLC
 
x Corporation
o Limited Partnership
o Limited Liability Company
o General Partnership
o Business Trust
o Other
Name of Issuer
 Celcuity Inc.
Jurisdiction of Incorporation/Organization
DELAWARE
 
Year of Incorporation/Organization
  x Over Five Years Ago
  o Within Last Five Years (Specify Year)  
  o Yet to Be Formed 



2. Principal Place of Business and Contact Information
Name of Issuer 
 Celcuity Inc. 
Street Address 1Street Address 2
 16305 36th Avenue North Suite 100
CityState/Province/CountryZIP/Postal CodePhone No. of Issuer
 Minneapolis MINNESOTA 55446 763-392-0767 



3. Related Persons
Last NameFirst NameMiddle Name
SullivanBrianF.
Street Address 1Street Address 2
16305 36th Avenue NorthSuite 100
CityState/Province/CountryZIP/Postal Code
MinneapolisMINNESOTA55446
Relationship: x Executive Officer x Director x Promoter
Clarification of Response (if Necessary)
  

Last NameFirst NameMiddle Name
LaingLanceG.
Street Address 1Street Address 2
16305 36th Avenue NorthSuite 100
CityState/Province/CountryZIP/Postal Code
MinneapolisMINNESOTA55446
Relationship: x Executive Officer x Director x Promoter
Clarification of Response (if Necessary)
  

Last NameFirst NameMiddle Name
HahneVicky
Street Address 1Street Address 2
16305 36th Avenue NorthSuite 100
CityState/Province/CountryZIP/Postal Code
MinneapolisMINNESOTA55446
Relationship: x Executive Officer o Director o Promoter
Clarification of Response (if Necessary)
  

Last NameFirst NameMiddle Name
DalveyDavidF.
Street Address 1Street Address 2
16305 36th Avenue NorthSuite 100
CityState/Province/CountryZIP/Postal Code
MinneapolisMINNESOTA55446
Relationship: o Executive Officer x Director o Promoter
Clarification of Response (if Necessary)
  

 
Last NameFirst NameMiddle Name
NigonRichardJ.
Street Address 1Street Address 2
16305 36th Avenue NorthSuite 100
CityState/Province/CountryZIP/Postal Code
MinneapolisMINNESOTA55446
Relationship: o Executive Officer x Director o Promoter
Clarification of Response (if Necessary)
  

Last NameFirst NameMiddle Name
FurchtLeoT.
Street Address 1Street Address 2
16305 36th Avenue NorthSuite 100
CityState/Province/CountryZIP/Postal Code
MinneapolisMINNESOTA55446
Relationship: o Executive Officer x Director o Promoter
Clarification of Response (if Necessary)
  

Last NameFirst NameMiddle Name
BullerRichardE.
Street Address 1Street Address 2
16305 36th Avenue NorthSuite 100
CityState/Province/CountryZIP/Postal Code
MinneapolisMINNESOTA55446
Relationship: o Executive Officer x Director o Promoter
Clarification of Response (if Necessary)
  

Last NameFirst NameMiddle Name
MurphyPollyA.
Street Address 1Street Address 2
16305 36th Avenue NorthSuite 100
CityState/Province/CountryZIP/Postal Code
MinneapolisMINNESOTA55446
Relationship: o Executive Officer x Director o Promoter
Clarification of Response (if Necessary)
  

 


4. Industry Group
o Agriculture Health Care o Retailing
 Banking & Financial Services   x Biotechnology o Restaurants
  o Commercial Banking   o Health Insurance Technology
  o Insurance  o Hospitals & Physicians  o Computers
  o Investing  o Pharmaceuticals  o Telecommunications
  o Investment Banking  o Other Health Care  o Other Technology
  o Pooled Investment Fund

    Travel
  o Other Banking & Financial Services o Manufacturing  o Airlines & Airports
 Real Estate  o Lodging & Conventions
  o Commercial  o Tourism & Travel Services
  o Construction  o Other Travel
  o REITS & Finance o Other
  o Residential 
  o Other Real Estate 
o Business Services 
 Energy 
  o Coal Mining 
  o Electric Utilities 
  o Energy Conservation 
  o Environmental Services 
  o Oil & Gas 
  o Other Energy 


5. Issuer Size
Revenue RangeAggregate Net Asset Value Range
o No Revenues o No Aggregate Net Asset Value
o $1 - $1,000,000 o $1 - $5,000,000
o $1,000,001 - $5,000,000 o $5,000,001 - $25,000,000
o $5,000,001 - $25,000,000 o $25,000,001 - $50,000,000
o $25,000,001 - $100,000,000 o $50,000,001 - $100,000,000
o Over $100,000,000 o Over $100,000,000
x Decline to Disclose o Decline to Disclose
o Not Applicable o Not Applicable


6. Federal Exemption(s) and Exclusion(s) Claimed (select all that apply)
o Rule 504(b)(1) (not (i), (ii) or (iii)) o Rule 505
o Rule 504 (b)(1)(i) x Rule 506(b)
o Rule 504 (b)(1)(ii) o Rule 506(c)
o Rule 504 (b)(1)(iii) o Securities Act Section 4(a)(5)
  o Investment Company Act Section 3(c)

7. Type of Filing
o New Notice Date of First Sale 2021-04-08 o First Sale Yet to Occur
x Amendment

8. Duration of Offering
Does the Issuer intend this offering to last more than one year? x Yes o No

9. Type(s) of Securities Offered (select all that apply)
o Pooled Investment Fund Interests o Equity
o Tenant-in-Common Securities x Debt
o Mineral Property Securities x Option, Warrant or Other Right to Acquire Another Security
x Security to be Acquired Upon Exercise of Option, Warrant or Other Right to Acquire Security o Other (describe)
  


10. Business Combination Transaction
Is this offering being made in connection with a business combination transaction, such as a merger, acquisition or exchange offer? o Yes x No
 
Clarification of Response (if Necessary) 
  

11. Minimum Investment
Minimum investment accepted from any outside investor$ 0 USD

12. Sales Compensation
RecipientRecipient CRD Number o None
 LCT Capital, LLC 154233
(Associated) Broker or Dealer o None(Associated) Broker or Dealer CRD Number o None
 LCT Capital, LLC 154233
Street Address 1Street Address 2
 80 Pascal Lane  
City State/Province/CountryZIP/Postal Code
 Austin TEXAS 78746
State(s) of Solicitation o All States o Foreign/Non-US
 CALIFORNIA
 NEW YORK
 OKLAHOMA
 PENNSYLVANIA
 TEXAS
 UTAH
 

 



13. Offering and Sales Amounts
Total Offering Amount $ 75375000 USD o Indefinite
Total Amount Sold $ 35000000 USD 
Total Remaining to be Sold $ 40375000 USD o Indefinite
 
Clarification of Response (if Necessary)
 Incl. Common Stock that may be issued upon lender's election to convert certain principal amts, and outstanding warrants to purchase Common Stock issued in connection with the offering. The conversion may not occur and the warrants may never be exercised.


14. Investors
o Select if securities in the offering have been or may be sold to persons who do not qualify as accredited investors,
Number of such non-accredited investors who already have invested in the offering
 
  Regardless of whether securities in the offering have been or may be sold to persons who do not qualify as accredited investors, enter the total number of investors who already have invested in the offering: 1


15. Sales Commissions & Finders’ Fees Expenses
Provide separately the amounts of sales commissions and finders' fees expenses, if any. If the amount of an expenditure is not known, provide an estimate and check the box next to the amount.
Sales Commissions$ 1125000 USD x Estimate
Finders' Fees$ 0 USD o Estimate
 
Clarification of Response (if Necessary)
 Assumes entire offering is sold, but does not include reasonable out-of-pocket expenses in an amount yet to be determined.


16. Use of Proceeds
Provide the amount of the gross proceeds of the offering that has been or is proposed to be used for payments to any of the persons required to be named as executive officers, directors or promoters in response to Item 3 above. If the amount is unknown, provide an estimate and check the box next to the amount.
 $ 0 USD o Estimate
 
Clarification of Response (if Necessary)
  

Signature and Submission
Please verify the information you have entered and review the Terms of Submission below before signing and clicking SUBMIT below to file this notice.
Terms of Submission 
 In submitting this notice, each Issuer named above is: 
 
  • Notifying the SEC and/or each State in which this notice is filed of the offering of securities described and undertaking to furnish them, upon written request, the information furnished to offerees.
  • Irrevocably appointing each of the Secretary of the SEC and, the Securities Administrator or other legally designated officer of the State in which the Issuer maintains its principal place of business and any State in which this notice is filed, as its agents for service of process, and agreeing that these persons may accept service on its behalf, of any notice, process or pleading, and further agreeing that such service may be made by registered or certified mail, in any Federal or state action, administrative proceeding, or arbitration brought against it in any place subject to the jurisdiction of the United States, if the action, proceeding or arbitration (a) arises out of any activity in connection with the offering of securities that is the subject of this notice, and (b) is founded, directly or indirectly, upon the provisions of: (i) the Securities Act of 1933, the Securities Exchange Act of 1934, the Trust Indenture Act of 1939, the Investment Company Act of 1940, or the Investment Advisers Act of 1940, or any rule or regulation under any of these statutes, or (ii) the laws of the State in which the issuer maintains its principal place of business or any State in which this notice is filed.
  • Certifying that, if the issuer is claiming a Regulation D exemption for the offering, the issuer is not disqualified from relying on Rule 504 or Rule 506 for one of the reasons stated in Rule 504(b)(3) or Rule 506(d).
 
 
 Each Issuer identified above has read this notice, knows the contents to be true, and has duly caused this notice to be signed on its behalf by the undersigned duly authorized person.
 For signature, type in the signer's name or other letters or characters adopted or authorized as the signer's signature.

IssuerSignatureName of SignerTitleDate
Celcuity Inc./s/ Brian F. SullivanBrian F. SullivanChief Executive Officer2023-05-02

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