Statement of Ownership (sc 13g)
February 16 2021 - 1:16PM
Edgar (US Regulatory)
UNITED
STATES
SECURITIES
AND EXCHANGE COMMISSION
Washington, D.C. 20549
SCHEDULE
13G
Under the Securities Exchange Act of
1934
Amendment #
LANTERN
PHARMA Inc.
|
(Name of Issuer)
|
Common Stock, par value $0.0001 per share
|
(Title of Class of Securities)
|
December 31, 2020
|
(Date of Event Which Requires Filing of this Statement)
|
Check the appropriate box to designate
the rule pursuant to which this Schedule is filed:
¨
Rule 13d-1(b)
¨
Rule 13d-1(c)
x
Rule 13d-1(d)
*The
remainder of this cover page shall be filled out for a reporting person’s initial filing on this form with respect to
the subject class of securities, and for any subsequent amendment containing information which would alter the disclosures provided
in a prior cover page.
The information
required in the remainder of this cover page shall not be deemed to be “filed” for the purpose of Section 18
of the Securities Exchange Act of 1934 (“Act”) or otherwise subject to the liabilities of that section of the Act
but shall be subject to all other provisions of the Act (however, see the Notes).
CUSIP No. 51654W101
|
(1)
|
Names of Reporting Persons/ I.R.S. Identification
Nos. of Above Persons (Entities Only)
Arunkumar Asaithambi
|
(2)
|
Check the Appropriate Box if a Member of
a Group (See Instructions)
N/A
|
(3)
|
SEC Use Only
|
(4)
|
Citizenship
or Place of Organization
India
|
Numbers of
Shares
Beneficially
Owned by
Each
Reporting
Person With
|
(5)
|
Sole Voting Power
470,460
|
(6)
|
Shared Voting Power
0
|
(7)
|
Sole Dispositive Power
470,460
|
(8)
|
Shared Dispositive Power
0
|
(9)
|
Aggregate Amount Beneficially Owned by
Each Reporting Person
470,460
|
(10)
|
Check if the Aggregate Amount in Row (9) Excludes
Certain Shares ¨
Not applicable.
|
(11)
|
Percent of Class Represented by Amount
in Row (9)
4.5%
|
(12)
|
Type of Reporting Person (See Instructions)
IN
|
Item 1.
Lantern
Pharma Inc.
|
(b)
|
Address of Issuer’s Principal Executive Offices
|
1920 McKinney Ave.
7th Floor
Dallas, TX 75201
Item 2.
|
(a)
|
Name of Person Filing
|
Arunkumar
Asaithambi
|
(b)
|
Address of Principal Business Office or, if none, Residence
|
3 Pleasant Lane, Oyster Bay,
NY 11771
India
|
(d)
|
Title of Class of Securities
|
Lantern Pharma Inc. common stock
$0.0001 par value per share
51654W101
Item 3.
Not Applicable.
Item 4.
The stock ownership information below is
presented as of the date hereof, which consists of 426,960 shares of common stock held by the reporting person and 43,500 shares
of common stock which may be acquired pursuant to an option arrangement. The percentage set forth below is based on 10,503,292
shares of Common Stock issued and outstanding as of January 20, 2021, as represented in the Company’s Prospectus filed
with the Securities and Exchange Commission on January 15, 2021 (the “January Prospectus”), plus 43,500 shares
issuable upon the exercise of outstanding options. As of December 31, 2020, the reporting person’s stock ownership consisted
of 441,960 shares of common stock held by the reporting person and 43,500 shares of common stock which may be acquired pursuant
to an option arrangement. The shares of common stock constituted 7.7% of the Company’s outstanding common stock based on
6,220,927 shares outstanding as of November 6, 2020 as reported in the January Prospectus, plus 43,500 shares issuable
upon the exercise of outstanding options. As of the date hereof, the Company had completed the public offering contemplated by
the January Prospectus, resulting in the percentage ownership set forth below.
|
(a)
|
Amount beneficially owned:
|
470,460
4.5%
|
(c)
|
Number of shares as to which the person has:
|
|
(i)
|
Sole power to vote or to direct the vote
|
470,460
|
(ii)
|
Shared power to vote or to direct the vote
|
0
|
(iii)
|
Sole power to dispose or to direct the disposition of
|
470,460
|
(iv)
|
Shared power to dispose or to direct the disposition of
|
0
|
Item 5.
|
Ownership of Five Percent or Less of a Class
|
If this statement is being filed to report the fact that as
of the date hereof the reporting person has ceased to be the beneficial owner of more than 5 percent of the class of securities,
check the following: x
|
Item 6.
|
Ownership of More than Five Percent on Behalf of Another Person.
|
Not applicable.
|
Item 7.
|
Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on By the Parent Holding
Company.
|
Not applicable.
|
Item 8.
|
Identification and Classification of Members of the Group.
|
Not applicable.
|
Item 9.
|
Notice of Dissolution of Group.
|
Not applicable.
Not applicable.
SIGNATURES
After reasonable inquiry and to the best of my knowledge and
belief, I certify that the information set forth in this statement is true, complete and correct.
Date: February 12, 2021
|
By:
|
/s/ Arunkumar Asaithambi
|
|
|
Name: Arunkumar Asaithambi
|
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