0001213900-21-055664.txt : 20211101
0001213900-21-055664.hdr.sgml : 20211101
20211101091525
ACCESSION NUMBER: 0001213900-21-055664
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20211028
FILED AS OF DATE: 20211101
DATE AS OF CHANGE: 20211101
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Petkevich Misha
CENTRAL INDEX KEY: 0001791221
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38326
FILM NUMBER: 211365546
MAIL ADDRESS:
STREET 1: C/O COHBAR, INC.
STREET 2: 1455 ADAMS DRIVE, SUITE 2050
CITY: MENLO PARK
STATE: CA
ZIP: 94025
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: CohBar, Inc.
CENTRAL INDEX KEY: 0001522602
STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834]
IRS NUMBER: 261299952
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 1455 ADAMS DRIVE, SUITE 2050
STREET 2: MENLO BUSINESS PARK
CITY: MENLO PARK
STATE: CA
ZIP: 94025
BUSINESS PHONE: (650) 446-7888
MAIL ADDRESS:
STREET 1: 1455 ADAMS DRIVE, SUITE 2050
STREET 2: MENLO BUSINESS PARK
CITY: MENLO PARK
STATE: CA
ZIP: 94025
FORMER COMPANY:
FORMER CONFORMED NAME: Cohbar, Inc.
DATE OF NAME CHANGE: 20110606
4
1
ownership.xml
X0306
4
2021-10-28
0
0001522602
CohBar, Inc.
CWBR
0001791221
Petkevich Misha
C/O COHBAR, INC.
1455 ADAMS DRIVE, SUITE 2050
MENLO PARK
CA
94025
1
0
0
0
Common Stock
2021-10-28
4
P
0
167000
0.5759
A
407609
I
See Footnote
The Reporting Person is a General Partner of V2M Life Sciences L.P. ("V2M"), and has sole voting and dispositive power over the securities held by V2M. The Reporting Person disclaims beneficial ownership over such securities except to the extent of his pecuniary interest therein, and the inclusion of such securities in this report shall not be deemed an admission of beneficial ownership of the reported securities for purposes of Section 16 or for any other purposes.
/s/ Jeffrey F. Biunno, Attorney-in-fact for Misha Petkevich
2021-11-01