0001213900-22-050082.txt : 20220822
0001213900-22-050082.hdr.sgml : 20220822
20220822164253
ACCESSION NUMBER: 0001213900-22-050082
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220818
FILED AS OF DATE: 20220822
DATE AS OF CHANGE: 20220822
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Claiborne Cary J
CENTRAL INDEX KEY: 0001370930
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38323
FILM NUMBER: 221184218
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
4
1
ownership.xml
X0306
4
2022-08-18
0
0001513525
ADIAL PHARMACEUTICALS, INC.
ADIL
0001370930
Claiborne Cary J
1180 SEMINOLE TRAIL, SUITE 495
CHARLOTTESVILLE
VA
22901
0
1
0
0
Chief Executive Officer
Common Stock
2022-08-18
4
A
0
1000000
0
A
1000000
D
These are Restricted Stock Units that vest monthly pro rata over the next 36 months.
/s/ Cary J. Claiborne
2022-08-22