SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

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*
Najmabadi Kamran

(Last) (First) (Middle)
C/O RENOVORX, INC.
4546 EL CAMINO REAL SUITE B1

(Street)
LOS ALTOS CA CA

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
08/25/2021
3. Issuer Name and Ticker or Trading Symbol
RenovoRx, Inc. [ RNXT ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director X 10% Owner
Officer (give title below) Other (specify below)
5. If Amendment, Date of Original Filed (Month/Day/Year)
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 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 10,000 D(1)
Common Stock 121,875 I The Leili Najmabadi Irrevocable Trust dated April 22, 2021
Common Stock 121,875 I The Navid Najmabadi Irrevocable Trust dated April 22, 2021
Common Stock 731,250 I(2) The Najmabadi Family Trust dated April 22, 2021
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: 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
Stock Option (right to buy) (3) 05/18/2027 Common Stock 60,000 $0.5 D
1. Name and Address of Reporting Person*
Najmabadi Kamran

(Last) (First) (Middle)
C/O RENOVORX, INC.
4546 EL CAMINO REAL SUITE B1

(Street)
LOS ALTOS CA CA

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
1. Name and Address of Reporting Person*
Najmabadi Family Trust dated April 22, 2021

(Last) (First) (Middle)
3114 DAVID AVE.

(Street)
PALO ALTO CA 94303

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
Explanation of Responses:
1. The shares are owned directly by Kamran Najmabadi.
2. These shares are owned directly by The Najmabadi Family Trust dated April 22, 2021, a ten percent owner of the issuer, and indirectly by Kamran Najmabadi as trustee of the trust. Kamran Najmabadi is a ten percent owner of the issuer.
3. The shares subject to the option are fully vested.
/s/ Kamran Najmabadi 08/25/2021
/s/ Kamran Najmabadi, Trustee 08/25/2021
** 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 5 (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.
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