0000914190-20-000176.txt : 20200518
0000914190-20-000176.hdr.sgml : 20200518
20200518162754
ACCESSION NUMBER: 0000914190-20-000176
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20200514
FILED AS OF DATE: 20200518
DATE AS OF CHANGE: 20200518
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: 20889917
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
2020-05-14
0001603454
Celcuity Inc.
CELC
0001296457
Dalvey David
16305 36TH AVENUE NORTH
SUITE 100
MINNEAPOLIS
MN
55446
1
0
0
0
Common Stock
2020-05-14
4
A
0
7843
0
A
7843
D
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
2029-05-16
Common Stock
5054
5054
D
Stock Option (right to buy)
5.10
2020-05-14
4
A
0
12654
0
A
2030-05-14
Common Stock
12654
12654
D
Represents 7,843 shares of restricted stock for which risks of forfeiture lapse on April 30, 2021, or if earlier, the date of the Company's 2021 Annual Meeting of Stockholders.
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, 2021, or if earlier, the date of the Company's 2021 Annual Meeting of Stockholders.
/s/ Eric O. Madson as Attorney-in-Fact for David F. Dalvey pursuant to Power of Attorney previously filed.
2020-05-18