0001213900-21-056464.txt : 20211103
0001213900-21-056464.hdr.sgml : 20211103
20211103163418
ACCESSION NUMBER: 0001213900-21-056464
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20211102
FILED AS OF DATE: 20211103
DATE AS OF CHANGE: 20211103
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Claiborne Cary J
CENTRAL INDEX KEY: 0001370930
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38323
FILM NUMBER: 211376006
MAIL ADDRESS:
STREET 1: 3056 SENECA CHIEF TRAIL
CITY: ELLICOTT CITY
STATE: MD
ZIP: 21042
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: ADIAL PHARMACEUTICALS, INC.
CENTRAL INDEX KEY: 0001513525
STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834]
IRS NUMBER: 800667150
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 1180 SEMINOLE TRAIL
STREET 2: SUITE 495
CITY: CHARLOTTESVILLE
STATE: VA
ZIP: 22901
BUSINESS PHONE: 434-422-9800
MAIL ADDRESS:
STREET 1: 1180 SEMINOLE TRAIL
STREET 2: SUITE 495
CITY: CHARLOTTESVILLE
STATE: VA
ZIP: 22901
FORMER COMPANY:
FORMER CONFORMED NAME: ADial Pharmaceuticals, L.L.C.
DATE OF NAME CHANGE: 20170515
FORMER COMPANY:
FORMER CONFORMED NAME: Adial Pharmaceuticals, L.L.C.
DATE OF NAME CHANGE: 20110218
3
1
ownership.xml
OWNERSHIP DOCUMENT
X0206
3
2021-11-02
1
0001513525
ADIAL PHARMACEUTICALS, INC.
ADIL
0001370930
Claiborne Cary J
1180 SEMINOLE TRAIL, SUITE 495
CHARLOTTESVILLE,
VA
22902
1
0
0
0
/s/ Cary J. Claiborne
2021-11-03