0001104659-21-145474.txt : 20211201 0001104659-21-145474.hdr.sgml : 20211201 20211201164523 ACCESSION NUMBER: 0001104659-21-145474 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211129 FILED AS OF DATE: 20211201 DATE AS OF CHANGE: 20211201 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Floyd Heather CENTRAL INDEX KEY: 0001627366 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-41096 FILM NUMBER: 211463562 MAIL ADDRESS: STREET 1: 1300 CORPORATE CENTER WAY CITY: WELLINGTON STATE: FL ZIP: 33414 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: AeroClean Technologies, Inc. CENTRAL INDEX KEY: 0001872356 STANDARD INDUSTRIAL CLASSIFICATION: INDUSTRIAL & COMMERCIAL FANS & BLOWERS & AIR PURIFYING EQUIP [3564] IRS NUMBER: 453213164 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 10455 RIVERSIDE DRIVE CITY: PALM BEACH GARDENS STATE: FL ZIP: 33410 BUSINESS PHONE: 833-652-5326 MAIL ADDRESS: STREET 1: 10455 RIVERSIDE DRIVE CITY: PALM BEACH GARDENS STATE: FL ZIP: 33410 FORMER COMPANY: FORMER CONFORMED NAME: AeroClean Technologies, LLC DATE OF NAME CHANGE: 20210713 4 1 tm2132976-11_4seq1.xml OWNERSHIP DOCUMENT X0306 4 2021-11-29 0 0001872356 AeroClean Technologies, Inc. AERC 0001627366 Floyd Heather C/O AEROCLEAN TECHNOLOGIES, INC. 10455 RIVERSIDE DRIVE PALM BEACH GARDENS FL 33410 1 0 0 0 Restricted Stock Units 2021-11-29 4 A 0 37862 0 A Common Stock 37862 37862 D Each restricted stock unit represents a contingent right to receive one share of AERC common stock. The restricted stock units vest in three equal annual installments beginning November 29, 2022. Any unvested restricted stock units will vest in full immediately prior to the consummation of a change in control (as defined in the award agreement). /s/ Ryan Tyler, attorney-in-fact for Ms. Floyd 2021-12-01