0001493152-23-012818.txt : 20230418 0001493152-23-012818.hdr.sgml : 20230418 20230418174546 ACCESSION NUMBER: 0001493152-23-012818 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230416 FILED AS OF DATE: 20230418 DATE AS OF CHANGE: 20230418 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Elsey R Don CENTRAL INDEX KEY: 0001380742 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-41600 FILM NUMBER: 23827925 MAIL ADDRESS: STREET 1: 2273 RESEARCH BLVD, SUITE 400 CITY: ROCKVILLE STATE: MD ZIP: 20850 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: BullFrog AI Holdings, Inc. CENTRAL INDEX KEY: 0001829247 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 844786155 STATE OF INCORPORATION: NV FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 325 ELLINGTON BLVD. STREET 2: UNIT 317 CITY: GAITHERSBURG STATE: MD ZIP: 20878 BUSINESS PHONE: 3013672055 MAIL ADDRESS: STREET 1: 325 ELLINGTON BLVD. STREET 2: UNIT 317 CITY: GAITHERSBURG STATE: MD ZIP: 20878 4 1 ownership.xml X0407 4 2023-04-16 0 0001829247 BullFrog AI Holdings, Inc. BFRG,BFRGW 0001380742 Elsey R Don 323 ELLINGTON BLVD, UNIT 317 GAITHERSBURG MD 20878 1 0 0 0 0 Stock options (Right to buy) 6.82 2023-04-16 2023-04-16 4 A 0 40000 0.00 A Common stock 40000 40000 D The options vest as follows: 8,888 options were deemed immediately vested and, each month thereafter 864 shares vest per month. The option expires on April 16, 2028. /s/ R. Don Elsey 2023-04-18