Statement of Changes in Beneficial Ownership (4)
September 28 2022 - 12:05PM
Edgar (US Regulatory)
FORM 4
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
OMB Number:
3235-0287
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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
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EHRLICH LEO |
2. Issuer Name and Ticker or Trading Symbol
Innovation Pharmaceuticals Inc.
[
IPIX
]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
__X__ Director _____ 10% Owner __X__ Officer (give title below) _____ Other (specify below) CEO and Chairman |
(Last)
(First)
(Middle)
C/O INNOVATION PHARMACEUTICALS INC., 301 EDGEWATER PLACE - SUITE 100 |
3. Date of Earliest Transaction
(MM/DD/YYYY)
2/23/2020 |
(Street)
WAKEFIELD, MA 01880
(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)
_X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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1.Title of Security (Instr. 3)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. Code (Instr. 8)
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4. Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5)
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5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
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7. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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Amount
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(A) or (D)
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Price
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Class A Common Stock | 2/23/2020 | | A | | 500000 | A | $0 | 7835002 | D | |
Class A Common Stock | 12/28/2020 | | F | | 7835002 | D | $0.206 | 0 | D | |
Class A Common Stock | | | | | | | | 2752310 | I | By spouse |
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 |
Stock Option | $0.10 | 2/23/2020 | | A | | 500000 | | 2/23/2020 | 2/23/2030 | Class A Common Stock | 500000 | $0 | 500000 | D | |
Stock Option | $0.11 | 9/8/2020 | | M | | | 2200000 | 12/30/2010 | 12/30/2020 | Class B Common Stock | 2200000 | $0 | 13981820 | D | |
Class B Common Stock | (1) | 9/8/2020 | | M | | 2200000 | | (1) | (1) | Class A Common Stock | 2200000 | $0.11 | 4018180 | D | |
Class B Common Stock | (1) | 9/8/2020 | | F | | | 412238 | (1) | (1) | Class A Common Stock | 412238 | $0.22 | 3605942 | D | |
Stock Option | $0.11 | 10/2/2020 | | M | | | 909090 | 12/30/2010 | 12/30/2020 | Class B Common Stock | 909090 | $0 | 13072730 | D | |
Class B Common Stock | (1) | 10/2/2020 | | M | | 909090 | | (1) | (1) | Class A Common Stock | 909090 | $0.11 | 4515032 | D | |
Class B Common Stock | (1) | 10/2/2020 | | F | | | 181096 | (1) | (1) | Class A Common Stock | 181096 | $0.22 | 4333936 | D | |
Stock Option | $0.11 | 12/28/2020 | | M | | | 13072730 | 12/30/2010 | 12/30/2020 | Class B Common Stock | 13072703 | $0 | 0 | D | |
Class B Common Stock | (1) | 12/28/2020 | | M | | 13072730 | | (1) | (1) | Class A Common Stock | 13072730 | $0.11 | 17406666 | D | |
Class B Common Stock | (1) | 12/28/2020 | | F | | | 1765203 | (1) | (1) | Class A Common Stock | 1765203 | $0.206 | 15641463 | D | |
Stock Option | $0.24 | 10/10/2021 | | A | | 1000000 | | 10/10/2022 | 10/10/2031 | Class A Common Stock | 1000000 | $0 | 1000000 | D | |
Explanation of Responses: |
(1) | The Class B Common Stock is convertible into Class A Common Stock at any time on a one-for-one basis, and has no expiration date. |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
EHRLICH LEO C/O INNOVATION PHARMACEUTICALS INC. 301 EDGEWATER PLACE - SUITE 100 WAKEFIELD, MA 01880 | X |
| CEO and Chairman |
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Signatures
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/s/ Leo Ehrlich | | 9/28/2022 |
**Signature of Reporting Person | Date |
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. |
* | If the form is filed by more than one reporting person, see Instruction 4(b)(v). |
** | Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
Note: | File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. |
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. |
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