0001493152-21-031003.txt : 20211209 0001493152-21-031003.hdr.sgml : 20211209 20211209180022 ACCESSION NUMBER: 0001493152-21-031003 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211207 FILED AS OF DATE: 20211209 DATE AS OF CHANGE: 20211209 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Conroy Jeffrey X CENTRAL INDEX KEY: 0001794086 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40874 FILM NUMBER: 211483050 MAIL ADDRESS: STREET 1: 2372 MORSE AVE CITY: IRVINE STATE: CA ZIP: 92614 FORMER NAME: FORMER CONFORMED NAME: CONROY JEFFRY X. DATE OF NAME CHANGE: 20191114 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Cingulate Inc. CENTRAL INDEX KEY: 0001862150 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 863825535 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1901 W. 47TH PLACE CITY: KANSAS CITY STATE: KS ZIP: 66205 BUSINESS PHONE: (913) 942-2300 MAIL ADDRESS: STREET 1: 1901 W. 47TH PLACE CITY: KANSAS CITY STATE: KS ZIP: 66205 4 1 ownership.xml X0306 4 2021-12-07 0 0001862150 Cingulate Inc. CING 0001794086 Conroy Jeffrey X 1901 W. 47TH PLACE KANSAS CITY KS 66205 1 0 0 0 Stock Option (right to Buy) 6.00 2021-12-07 4 A 0 8983 0 A 2031-12-07 Common Stock 8983 8983 D The option vests in four equal annual installments commencing on December 7, 2022. /s/ Shane J. Schaffer, Attorney-in-Fact 2021-12-09