0001493152-22-017155.txt : 20220617
0001493152-22-017155.hdr.sgml : 20220617
20220617160613
ACCESSION NUMBER: 0001493152-22-017155
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210830
FILED AS OF DATE: 20220617
DATE AS OF CHANGE: 20220617
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: 221023799
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
ownership.xml
X0306
4
2021-08-30
0
0001574094
RenovoRx, Inc.
RNXT
0001862617
Agah Ramtin
C/O RENOVORX, INC.,
4546 EL CAMINO REAL, SUITE B1
LOS ALTOS,
CA
94022
1
1
1
0
Chief Medical Officer
Common Stock
2021-08-30
4
C
0
1295
A
976295
D
Convertible Notes
2021-08-30
4
C
0
1295
0
D
Common Stock
1295
0
D
Warrants (right to buy)
10.80
2021-08-30
4
C
0
1295
0
A
2026-08-30
Common Stock
1295
1295
D
Upon the closing of the Issuer's initial public offering, each Convertible Note, plus accrued interest, automatically converted into (i) one share of common stock and (ii) one five-year warrant to purchase one share of common stock at an exercise price equal to $10.80 per share.
The shares of Common Stock underlying the warrant are immediately exercisable.
/s/ Ramtin Agah MD
2022-06-17