0000912282-24-000785.txt : 20241112 0000912282-24-000785.hdr.sgml : 20241112 20241112190336 ACCESSION NUMBER: 0000912282-24-000785 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20241112 FILED AS OF DATE: 20241112 DATE AS OF CHANGE: 20241112 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: HAVENS JOHN PRENTISS CENTRAL INDEX KEY: 0002028876 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-42403 FILM NUMBER: 241450579 MAIL ADDRESS: STREET 1: 750 WEST PENDER STREET SUITE 1200 CITY: VANCOUVER STATE: A1 ZIP: V6C 2T8 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Alpha Cognition Inc. CENTRAL INDEX KEY: 0001655923 STANDARD INDUSTRIAL CLASSIFICATION: BIOLOGICAL PRODUCTS (NO DIAGNOSTIC SUBSTANCES) [2836] ORGANIZATION NAME: 03 Life Sciences IRS NUMBER: 000000000 STATE OF INCORPORATION: A1 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1200-750 W PENDER ST CITY: VANCOUVER STATE: A1 ZIP: V6C 2T8 BUSINESS PHONE: (858) 344-4375 MAIL ADDRESS: STREET 1: 20073 FIDDLERS GREEN CITY: FRISCO STATE: TX ZIP: 75036 FORMER COMPANY: FORMER CONFORMED NAME: Neurodyn Cognition Inc. DATE OF NAME CHANGE: 20151016 3 1 form3.xml X0206 3 2024-11-12 0 0001655923 Alpha Cognition Inc. ACOG 0002028876 HAVENS JOHN PRENTISS C/O ALPHA COGNITION INC. 1200 - 750 WEST PENDER STREET VANCOUVER A1 V6C 2T8 BRITISH COLUMBIA, CANADA true Common Shares 268925 D Common Shares 10000 I by John P Havens Trust No. 2 UA/2/1/2002 Common Shares 1080 I by John P. Havens, Jr. Common Shares 1235 I by Mallette Havens Common Share Options 5.21 2023-01-18 2031-12-20 Common Shares 9600 D Common Share Options 5.21 2023-01-18 2032-05-31 Common Shares 4000 D Common Share Options 4.12 2023-06-08 2033-06-08 Common Shares 16000 D The reporting person disclaims beneficial ownership of these securities, and this report shall not be deemed an admission that the reporting person is the beneficial owner of the securities for purposes of Section 16 or for any other purpose. Options are fully vested. Converted from Canadian exercise price of C$7.00 at C$1.3439=USD$1.00. 12.5% vested on June 8, 2023, and the remaining 87.5% vests in equal monthly installments until January 30, 2026. Converted from Canadian exercise price of C$5.50 at C$1.3358=USD$1.00. /s/ Havens John Prentiss 2024-11-12