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