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