0001493152-24-003342.txt : 20240122 0001493152-24-003342.hdr.sgml : 20240122 20240122204227 ACCESSION NUMBER: 0001493152-24-003342 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240102 FILED AS OF DATE: 20240122 DATE AS OF CHANGE: 20240122 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Singh Vininder CENTRAL INDEX KEY: 0001967605 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-41600 FILM NUMBER: 24550299 MAIL ADDRESS: STREET 1: 4 BLACK KETTLE COURT CITY: BOYDS STATE: MD ZIP: 20841 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: BullFrog AI Holdings, Inc. CENTRAL INDEX KEY: 0001829247 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] ORGANIZATION NAME: 03 Life Sciences IRS NUMBER: 844786155 STATE OF INCORPORATION: NV FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 325 ELLINGTON BLVD. STREET 2: UNIT 317 CITY: GAITHERSBURG STATE: MD ZIP: 20878 BUSINESS PHONE: 3013672055 MAIL ADDRESS: STREET 1: 325 ELLINGTON BLVD. STREET 2: UNIT 317 CITY: GAITHERSBURG STATE: MD ZIP: 20878 4 1 ownership.xml X0508 4 2024-01-02 0 0001829247 BullFrog AI Holdings, Inc. BFRG,BFRGW 0001967605 Singh Vininder 323 ELLINGTON BLVD, UNIT 317 GAITHERSBURG MD 20878 1 1 1 0 Chief Executive Officer 0 Stock options (Right to buy) 4.28 2024-01-18 2024-01-18 4 A 0 79000 0.00 A Common stock 79000 79000 D The options vest as follows: 26,333 options were deemed immediately vested and, 26,333 shares vest after the first year, and 26,333 shares vest after they second year. The option expires on January 18, 2029. The shares were issued pursuant as a grant under the company's equity incentive plan based on the market price on the date of the grant. /s/ Vininder Singh 2024-01-22