X0206 3 2016-01-29 0 0001624326 PAVmed Inc. PAVM 0001665074 Aklog Lishan 420 LEXINGTON AVENUE SUITE 300 NEW YORK NY 10170 1 1 1 0 Chiarman and CEO 0001665111 HCFP/Capital Partners III LLC 420 LEXINGTON AVENUE SUITE 300 NEW YORK NY 10170 0 0 1 0 0001665114 Pavilion Venture Partners LLC 420 LEXINGTON AVENUE SUITE 300 NEW YORK NY 10170 0 0 1 0 Common Stock 5713879 I By HCFP/Capital Partners III LLC Common Stock 2508532 I By Pavilion Venture Partners LLC Warrant 5.00 2021-11-25 Common Stock 5713879 I By HCFP/Capital Partners III LLC Warrant 5.00 2021-11-25 Common Stock 2508532 I By Pavilion Venture Partners LLC Dr. Aklog is a member and a co-manager of HCFP/Capital Partners III, and shares joint voting and dispositive power over the shares held by this entity. Dr. Aklog a disclaims beneficial ownership of shares held by this entity, except to the extent of his proportionate pecuniary interest therein Dr. Aklog is a member and sole manager of Pavilion Venture Partners LLC and has sole voting and dispositive power over the shares held by this entity. Dr. Aklog disclaims beneficial ownership of shares held by this entity, except to the extent of his proportionate pecuniary interest therein. The warrants will be exercisable commencing 6 months from the consummation of the Issuer's initial public offering. /s/ Dr. Lishan Aklog 2016-01-29