0001013762-23-002930.txt : 20231010 0001013762-23-002930.hdr.sgml : 20231010 20231010184924 ACCESSION NUMBER: 0001013762-23-002930 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20231004 FILED AS OF DATE: 20231010 DATE AS OF CHANGE: 20231010 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CAMPBELL NEIL J CENTRAL INDEX KEY: 0001263640 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-41294 FILM NUMBER: 231319076 MAIL ADDRESS: STREET 1: 225 CHIMNEY CORNER LANE, SUITE 2001 CITY: JUPITER STATE: FL ZIP: 33458 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Blue Water Biotech, Inc. CENTRAL INDEX KEY: 0001782107 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 201 E. FIFTH STREET STREET 2: SUITE 1900 CITY: CINCINNATI STATE: OH ZIP: 45202 BUSINESS PHONE: 513-620-4101 MAIL ADDRESS: STREET 1: 201 E. FIFTH STREET STREET 2: SUITE 1900 CITY: CINCINNATI STATE: OH ZIP: 45202 FORMER COMPANY: FORMER CONFORMED NAME: Blue Water Vaccines Inc. DATE OF NAME CHANGE: 20190710 3 1 ownership.xml X0206 3 2023-10-04 0 0001782107 Blue Water Biotech, Inc. BWV 0001263640 CAMPBELL NEIL J C/O BLUE WATER BIOTECH INC. 201 E. FIFTH STREET, SUITE 1900 CINCINNATI OH 45202 1 1 0 0 Chief Executive Officer Stock Option 0.4305 2033-10-04 Common Stock 532326 D The option vests in quarterly increments over a period of three years from October 4, 2023, subject to Dr. Campbell's continued employment by the Company on the applicable vesting date. /s/ Neil Campbell 2023-10-10