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