0000914190-19-000178.txt : 20190520
0000914190-19-000178.hdr.sgml : 20190520
20190520160434
ACCESSION NUMBER: 0000914190-19-000178
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190516
FILED AS OF DATE: 20190520
DATE AS OF CHANGE: 20190520
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Dalvey David
CENTRAL INDEX KEY: 0001296457
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38207
FILM NUMBER: 19838716
MAIL ADDRESS:
STREET 1: C/O BLUE ROCK ADVISORS, INC.
STREET 2: 80 SOUTH EIGHTH STREET SUITE 3915
CITY: MINNEAPOLIS
STATE: MN
ZIP: 55402
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Celcuity Inc.
CENTRAL INDEX KEY: 0001603454
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MEDICAL LABORATORIES [8071]
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
BUSINESS ADDRESS:
STREET 1: 16305 36TH AVENUE N
STREET 2: SUITE 100
CITY: MINNEAPOLIS
STATE: MN
ZIP: 55446
BUSINESS PHONE: 763-392-0767
MAIL ADDRESS:
STREET 1: 16305 36TH AVENUE N
STREET 2: SUITE 100
CITY: MINNEAPOLIS
STATE: MN
ZIP: 55446
FORMER COMPANY:
FORMER CONFORMED NAME: Celcuity LLC
DATE OF NAME CHANGE: 20140324
4
1
edgar.xml
PRIMARY DOCUMENT
X0306
4
2019-05-16
0001603454
Celcuity Inc.
CELC
0001296457
Dalvey David
16305 36TH AVENUE NORTH
MINNEAPOLIS
MN
55446
1
0
0
0
Common Stock
250000
I
By Brightstone Venture Capital Fund, LP
Stock Option (right to buy)
16.23
2027-10-19
Common Stock
8200
8200
D
Stock Option (right to buy)
19.45
2028-05-14
Common Stock
3201
3201
D
Stock Option (right to buy)
22.45
2019-05-16
4
A
0
5054
0
A
2029-05-16
Common Stock
5054
5054
D
The Reporting Person is the General Partner of Brightstone Venture Capital Fund, LP.
100% vested.
This Option will vest and become exercisable on April 30, 2020, or if earlier, the date of the Company's 2020 Annual Meeting of Stockholders.
/s/ Eric O. Madson as Attorney-in-Fact for David F. Dalvey pursuant to Power of Attorney previously filed.
2019-05-20