0001493152-20-019253.txt : 20201009
0001493152-20-019253.hdr.sgml : 20201009
20201009180006
ACCESSION NUMBER: 0001493152-20-019253
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20200924
FILED AS OF DATE: 20201009
DATE AS OF CHANGE: 20201009
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Patel Kinnary
CENTRAL INDEX KEY: 0001828008
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39555
FILM NUMBER: 201234145
MAIL ADDRESS:
STREET 1: 3992 BLUEBONNET DR., BUILDING 14
CITY: STAFFORD
STATE: TX
ZIP: 77477
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Greenwich LifeSciences, Inc.
CENTRAL INDEX KEY: 0001799788
STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834]
IRS NUMBER: 205473709
STATE OF INCORPORATION: TX
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 3992 BLUEBONNET DR, BUILDING 14
CITY: STAFFORD
STATE: TX
ZIP: 77477
BUSINESS PHONE: 203-434-3290
MAIL ADDRESS:
STREET 1: 3992 BLUEBONNET DR, BUILDING 14
CITY: STAFFORD
STATE: TX
ZIP: 77477
3
1
ownership.xml
X0206
3
2020-09-24
0
0001799788
Greenwich LifeSciences, Inc.
GLSI
0001828008
Patel Kinnary
C/O GREENWICH LIFESCIENCES, INC.
3992 BLUEBONNET DR, BUILDING 14
STAFFORD
TX
77477
0
0
1
0
Common stock
2405670
I
See footnote
Common stock
1320226
I
See footnote
Common stock
1329590
I
See footnote
Series B Preferred Stock
Common stock
76780
I
See footnote
Series D Preferred Stock
Common stock
45328
I
See footnote
The securities are owned by Patel Family Trust 1. Kinnary Patel, as co-Trustee of Patel Family Trust 1, shares voting and dispositive power over the securities held by such trust with her spouse.
The securities are owned by Patel Family Trust 2. Kinnary Patel, as co-Trustee of Patel Family Trust 2, shares voting and dispositive power over the securities held by such trust with her spouse.
The securities are owned by Patel Family Trust 3. Kinnary Patel, as co-Trustee of Patel Family Trust 3, shares voting and dispositive power over the securities held by such trust with her spouse.
The Series B Preferred Stock have no expiration date and are convertible, at the option of the holder, into shares of common stock of the Issuer at the then-effective conversion rate for no additional consideration (subject to the payment of cash, if applicable, in lieu of any fractional shares in accordance with the Issuer's Amended and Restated Certificate of Incorporation (as amended, the "Certificate of Incorporation")).
The Series B Preferred Stock is convertible into shares of the Issuer's common stock at a 1-for-1 conversion rate.
Kinnary Patel is the Trustee of the Kinnary Patel IRA and in such capacity has the right to vote and dispose of the securities held by such IRA.
The Series D Preferred Stock have no expiration date and are convertible, at the option of the holder, into shares of common stock of the Issuer at the then-effective conversion rate for no additional consideration (subject to the payment of cash, if applicable, in lieu of any fractional shares in accordance with the Certificate of Incorporation).
The Series D Preferred Stock is convertible into shares of the Issuer's common stock at a 1-for-1 conversion rate.
/s/ Kinnary Patel
2020-10-09