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