0001171843-21-006632.txt : 20210923 0001171843-21-006632.hdr.sgml : 20210923 20210923163354 ACCESSION NUMBER: 0001171843-21-006632 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 3 CONFORMED PERIOD OF REPORT: 20210827 FILED AS OF DATE: 20210923 DATE AS OF CHANGE: 20210923 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Rajitha Grace 2018 Irrevocable Trust CENTRAL INDEX KEY: 0001882052 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35776 FILM NUMBER: 211272889 BUSINESS ADDRESS: STREET 1: 40 BEY LEA ROAD STREET 2: SUITE C 202 CITY: TOMS RIVER STATE: NJ ZIP: 08753 BUSINESS PHONE: 732 804 7054 MAIL ADDRESS: STREET 1: 40 BEY LEA ROAD STREET 2: SUITE C 202 CITY: TOMS RIVER STATE: NJ ZIP: 08753 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Iyer Swami Sambamurty CENTRAL INDEX KEY: 0001884073 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35776 FILM NUMBER: 211272888 MAIL ADDRESS: STREET 1: 20 TULSA COURT CITY: MONMOUTH JUNCTION STATE: NJ ZIP: 08852 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Acasti Pharma Inc. CENTRAL INDEX KEY: 0001444192 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 000000000 STATE OF INCORPORATION: A8 FISCAL YEAR END: 0331 BUSINESS ADDRESS: STREET 1: 3009, BOUL. DE LA CONCORDE EAST STREET 2: SUITE 102 CITY: LAVAL STATE: A8 ZIP: H7E 2B5 BUSINESS PHONE: 450-686-4555 MAIL ADDRESS: STREET 1: 3009, BOUL. DE LA CONCORDE EAST STREET 2: SUITE 102 CITY: LAVAL STATE: A8 ZIP: H7E 2B5 3 1 ownership.xml X0206 3 2021-08-27 0 0001444192 Acasti Pharma Inc. ACST 0001882052 Rajitha Grace 2018 Irrevocable Trust 40 BEY LEA ROAD, SUITE C 202 TOMS RIVER NJ 08753 0 0 1 0 0001884073 Iyer Swami Sambamurty 40 BEY LEA ROAD, SUITE C 202 TOMS RIVER NJ 08753 0 0 1 0 CLASS A COMMON SHARES 4689547 D Remarks: The trustee of the Rajitha Grace 2018 Irrevocable Trust is Swami Sambamurty Iyer. Mr. Iyer disclaims beneficial ownership over the shares except to the extent of his role as trustee. Exhibit List - Exhibit 24 - Power of Attorney /s/ Jason Comerford, Attorney-in-Fact 2021-09-23 EX-24 2 exh_24.htm POWER OF ATTORNEY

Exhibit 24

 

 

 

POWER OF ATTORNEY

 

KNOW ALL PERSONS BY THESE PRESENTS that the undersigned hereby constitutes, designates and appoints Janelle D’Alvise, Francois Paradis, and Jason Comerford as such person's true and lawful attorneys-in-fact and agents, each with full power of substitution and resubstitution and full power to act alone and without the other, for the undersigned and in the undersigned's name, place and stead, in any and all capacities, to:

 

(a) execute for and on behalf of the undersigned, in the undersigned's capacity as an officer and/or director of Acasti Pharma Inc. (the "Company"), Forms 3, 4, and 5 in accordance with Section 16(a) of the Securities Exchange Act of 1934 and the rules thereunder (or any successor forms);

 

(b) do and perform any and all acts for and on behalf of the undersigned which may be necessary or desirable to complete and execute any such Form 3, 4, or 5, complete and execute any amendment or amendments thereto, and timely file such form with the SEC and any stock exchange or similar authority; and

 

(c) take any other action of any type whatsoever in connection with the foregoing which, in the opinion of such attorney-in-fact, may be of benefit to, in the best interest of, or legally required by, the undersigned, it being understood that the documents executed by such attorney-in-fact on behalf of the undersigned pursuant to this Power of Attorney shall be in such form and shall contain such terms and conditions as such attorney-in-fact may approve in such attorney-in-fact's discretion.

 

The undersigned hereby grants to each such attorney-in-fact full power and authority to do and perform any and every act and thing whatsoever requisite, necessary, or proper to be done in the exercise of any of the rights and powers herein granted, as fully to all intents and purposes as the undersigned might or could do if personally present, with full power of substitution or revocation, hereby ratifying and confirming all that such attorney-in-fact, or such attorney-in-fact's substitute or substitutes, shall lawfully do or cause to be done by virtue of this power of attorney and the rights and powers herein granted. The undersigned acknowledges that the foregoing attorneys-in-fact, in serving in such capacity at the request of the undersigned, are not assuming, nor is the Company assuming any of the undersigned's responsibilities to comply with Section 16 of the Securities Exchange Act of 1934.

 

This Power of Attorney shall remain in full force and effect until the undersigned is no longer required to file Forms 3, 4, and 5 with respect to the undersigned's holdings of and transactions in securities issued by the Company, unless earlier revoked by the undersigned in a signed writing delivered to the foregoing attorneys-in-fact, except that in respect of any person herein appointed as an attorney-in-fact of the undersigned, this Power of Attorney shall be revoked and shall cease to be effective immediately with respect to such person at such time as such person shall no longer be employed by any of the Company and its subsidiaries.

 

 

 

 

 

 

 

 

[Signature Page Follows]

 

 

IN WITNESS WHEREOF, the undersigned has executed this instrument as of the 23rd day of September, 2021.

 

 

 

 

 

 

 

 

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