0001213900-24-026706.txt : 20240327
0001213900-24-026706.hdr.sgml : 20240327
20240327180545
ACCESSION NUMBER: 0001213900-24-026706
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20240325
FILED AS OF DATE: 20240327
DATE AS OF CHANGE: 20240327
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Goodman Tony
CENTRAL INDEX KEY: 0001717971
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38323
FILM NUMBER: 24792429
MAIL ADDRESS:
STREET 1: 1180 SEMINOLE TRAIL, SUITE 495
CITY: CHARLOTTESVILLE
STATE: VA
ZIP: 22901
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: ADIAL PHARMACEUTICALS, INC.
CENTRAL INDEX KEY: 0001513525
STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834]
ORGANIZATION NAME: 03 Life Sciences
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
X0508
4
2024-03-25
0
0001513525
ADIAL PHARMACEUTICALS, INC.
ADIL
0001717971
Goodman Tony
4870 SADLER ROAD, SUITE 300
GLEN ALLEN,
VA
23060
1
1
0
0
Chief Operating Officer
0
Stock Option (Right to Buy)
1.35
2024-03-25
4
A
0
42000
0
A
2034-03-24
Common Stock
42000
42000
D
The option vests pro rata on a monthly basis over 36 months commencing April 25, 2024.
/s/ Tony Goodman
2024-03-27