0001209191-22-013741.txt : 20220228
0001209191-22-013741.hdr.sgml : 20220228
20220228182904
ACCESSION NUMBER: 0001209191-22-013741
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220225
FILED AS OF DATE: 20220228
DATE AS OF CHANGE: 20220228
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: TIDMARSH GEORGE F
CENTRAL INDEX KEY: 0001287235
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39603
FILM NUMBER: 22692511
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: REVELATION BIOSCIENCES, INC.
CENTRAL INDEX KEY: 0001810560
STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834]
IRS NUMBER: 843898466
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 4660 LAJOLLA VILLAGE DRIVE
STREET 2: SUITE 100
CITY: SAN DIEGO
STATE: CA
ZIP: 92122
BUSINESS PHONE: 650-800-3717
MAIL ADDRESS:
STREET 1: 4660 LAJOLLA VILLAGE DRIVE
STREET 2: SUITE 100
CITY: SAN DIEGO
STATE: CA
ZIP: 92122
FORMER COMPANY:
FORMER CONFORMED NAME: Petra Acquisition Inc.
DATE OF NAME CHANGE: 20200423
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2022-02-25
0
0001810560
REVELATION BIOSCIENCES, INC.
REVB
0001287235
TIDMARSH GEORGE F
C/O REVELATION BIOSCIENCES, INC.
4660 LA JOLLA VILLAGE DR., SUITE 100
SAN DIEGO
CA
92122
1
0
1
0
Common Stock
2022-02-25
4
P
0
20000
1.60
A
467156
D
Common Stock
1523335
I
By Trust
Shares are held by George Tidmarsh, Trustee George Francis Tidmarsh 2021 Irrevocable Trust with respect to which George Tidmarsh is a trustee.
/s/ J.P. Galda, as attorney-in-fact for George F Tidmarsh
2022-02-28