0001209191-21-059161.txt : 20211004 0001209191-21-059161.hdr.sgml : 20211004 20211004201124 ACCESSION NUMBER: 0001209191-21-059161 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210930 FILED AS OF DATE: 20211004 DATE AS OF CHANGE: 20211004 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Agah Ramtin CENTRAL INDEX KEY: 0001862617 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40738 FILM NUMBER: 211304780 MAIL ADDRESS: STREET 1: 4546 EL CAMINO REAL STREET 2: SUITE 223 CITY: LOS ALTOS STATE: CA ZIP: 94022 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: RenovoRx, Inc. CENTRAL INDEX KEY: 0001574094 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 271448452 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 333 W. SANTA CLARA STREET, SUITE 900 CITY: SAN JOSE STATE: CA ZIP: 95110 BUSINESS PHONE: 408-800-2649 MAIL ADDRESS: STREET 1: 333 W. SANTA CLARA STREET, SUITE 900 CITY: SAN JOSE STATE: CA ZIP: 95110 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2021-09-30 0 0001574094 RenovoRx, Inc. RNXT 0001862617 Agah Ramtin C/O RENOVORX, INC. 4546 EL CAMINO REAL, SUITE B1 LOS ALTOS CA 94022 1 1 0 0 Chief Medical Officer Employee Stock Option (right to buy) 6.04 2021-09-30 4 A 0 52203 0.00 A 2031-09-29 Common Stock 52203 52203 D The shares subject to the option vest in 48 equal monthly installments beginning on September 26, 2021. /s/ Ramtin Agah 2021-10-04